MEDICARE: BAY NATION HOME HEALTH SERVICES INC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1386093714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY NATION HOME HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	39675 CEDAR BLVD STE 235
Second Line	:
City	:	NEWARK
State	:	CA
Zip	:	94560-5490
Country	:	US
Telephone Number	:	510-789-3866
Fax Number	:	510-573-6642

Provider Business Practice Location Address
First Line	:	39675 CEDAR BLVD STE 235
Second Line	:
City	:	NEWARK
State	:	CA
Zip	:	94560-5490
Country	:	US
Telephone Number	:	510-789-3866
Fax Number	:	510-573-6642

Authorized Official
Title or Position	:	CEO
Name	:	SHANAWAZ SYED
Credential	:
Telephone Number	:	510-573-6433

Provider Enumeration Date	:	06/07/2016
Last Update Date	:	09/23/2020

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Directions to “BAY NATION HOME HEALTH SERVICES INC ” Practice Location

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