Healthcare Provider Details

I. General information

NPI: 1902982358
Provider Name (Legal Business Name): HAYWARD SISTERS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2006
Last Update Date: 10/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27200 CALAROGA AVE
HAYWARD CA
94545
US

IV. Provider business mailing address

27200 CALAROGA AVE
HAYWARD CA
94545
US

V. Phone/Fax

Practice location:
  • Phone: 510-264-4015
  • Fax: 510-782-2191
Mailing address:
  • Phone: 510-264-4015
  • Fax: 510-782-2191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number140000107
License Number StateCA

VIII. Authorized Official

Name: MICHAEL TAYLOR
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 510-264-4104