Healthcare Provider Details

I. General information

NPI: 1861337362
Provider Name (Legal Business Name): BAY AREA OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 DOUSMAN ST
GREEN BAY WI
54303-3207
US

IV. Provider business mailing address

180 SYLVAN AVE
ENGLEWOOD CLIFFS NJ
07632-2512
US

V. Phone/Fax

Practice location:
  • Phone: 718-570-6018
  • Fax:
Mailing address:
  • Phone: 718-570-6018
  • Fax:

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: DANIEL MANDELBAUM
Title or Position: CFO
Credential: CPA
Phone: 718-570-6018