Healthcare Provider Details

I. General information

NPI: 1003695701
Provider Name (Legal Business Name): BRUIZ CAREHOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2023
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 MERGANSER CT
OAKLEY CA
94561-1687
US

IV. Provider business mailing address

30 MERGANSER CT
OAKLEY CA
94561-1687
US

V. Phone/Fax

Practice location:
  • Phone: 925-698-1207
  • Fax: 925-392-8589
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. JAMIE BERNARDINO-RUIZ
Title or Position: PRESIDENT
Credential:
Phone: 925-698-1207