MEDICARE: BAY AREA CARE TEAM, 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	2200301	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	369-2628-5	OTHER	CA	STATE TAX ID
2	HH220000801	OTHER	CA	OASIS PROVIDER NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598762239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY AREA CARE TEAM, INC

Provider Business Mailing Address
First Line	:	2505 TARAVAL STREET
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94116-2805
Country	:	US
Telephone Number	:	415-753-0275
Fax Number	:	415-753-0262

Provider Business Practice Location Address
First Line	:	2505 TARAVAL STREET
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94116-2805
Country	:	US
Telephone Number	:	415-753-0275
Fax Number	:	415-753-0262

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. TIMOTHY J O'CONNOR
Credential	:
Telephone Number	:	415-753-0275

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	04/09/2012

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Directions to “BAY AREA CARE TEAM, INC ” Practice Location

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