Healthcare Provider Details

I. General information

NPI: 1669024121
Provider Name (Legal Business Name): KALINGA CARE HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2019
Last Update Date: 12/20/2023
Certification Date: 11/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 VANCOUVER WAY
LIVERMORE CA
94550-6028
US

IV. Provider business mailing address

1230 VANCOUVER WAY
LIVERMORE CA
94550-6028
US

V. Phone/Fax

Practice location:
  • Phone: 925-453-6128
  • Fax: 925-453-6109
Mailing address:
  • Phone: 925-453-6128
  • Fax: 925-453-6109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. BERNADET VIRAY GUEVARRA
Title or Position: ADMINISTRATOR
Credential: RN, FNP
Phone: 650-576-0836