Healthcare Provider Details

I. General information

NPI: 1568399541
Provider Name (Legal Business Name): BAY AVENUE CLHF, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26197 BAY AVE
MORENO VALLEY CA
92555-3850
US

IV. Provider business mailing address

26197 BAY AVE
MORENO VALLEY CA
92555-3850
US

V. Phone/Fax

Practice location:
  • Phone: 562-331-0332
  • Fax: 818-688-0272
Mailing address:
  • Phone: 562-331-0332
  • Fax: 818-688-0272

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: MR. SAURABH BHARADWAJ
Title or Position: CFO, SECRETARY
Credential: RN
Phone: 562-331-0332