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NPI 1568399541

NPI 1568399541 : BAY AVENUE CLHF, INC. : MORENO VALLEY, CA

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General NPI Number Information
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    NPI Number           |    1568399541
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    Entity Type          |    Organization 
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    Legal Business Name  |    BAY AVENUE CLHF, INC. 
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Dates
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    Enumeration Date     |    05/05/2026
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    Last Update Date     |    05/05/2026
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Provider Practice Location Address
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    Address Line         |    26197 BAY AVE 
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    City                 |    MORENO VALLEY
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    State                |    CA
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    Zip                  |    92555-3850
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    Country              |    US
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    Telephone            |    562-331-0332
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    Fax                  |    818-688-0272
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Provider Business Mailing Address
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    Address Line         |    26197 BAY AVE 
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    City                 |    MORENO VALLEY
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    State                |    CA
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    Zip                  |    92555-3850
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    Country              |    US
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    Telephone            |    562-331-0332
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    Fax                  |    818-688-0272
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Authorized Official
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    Title or Position    |    CFO, SECRETARY
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    Name                 |    MR. SAURABH  BHARADWAJ 
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    Credential           |    RN
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    Telephone            |    562-331-0332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    314000000X
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    Taxonomy Name        |    Skilled Nursing Facility
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    License Number       |    
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    License Number State |    
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