MEDICARE: VERIS EASTBAY HOMECARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1326997511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERIS EASTBAY HOMECARE

Provider Business Mailing Address
First Line	:	2515 SANTA CLARA AVE STE 201
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94501-4668
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2515 SANTA CLARA AVE STE 201
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94501-4668
Country	:	US
Telephone Number	:	510-924-8529
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN HAN
Credential	:
Telephone Number	:	510-924-8529

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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