Healthcare Provider Details

I. General information

NPI: 1942298153
Provider Name (Legal Business Name): HAYWARD SISTERS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 04/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27200 CALAROGA AVENUE
HAYWARD CA
94545-4339
US

IV. Provider business mailing address

27200 CALAROGA AVENUE
HAYWARD CA
94545-4383
US

V. Phone/Fax

Practice location:
  • Phone: 510-264-4002
  • Fax: 510-887-7421
Mailing address:
  • Phone: 510-264-4002
  • Fax: 510-887-7421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number140000107
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number140000107
License Number StateCA

VIII. Authorized Official

Name: MR. LEX REDDY
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 510-264-4002