MEDICARE: BAY ADULT CARE 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	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	434700167	OTHER	CA	HOME CARE ORGANIZATION NUMBER

General Provider Information

NPI Number	:	1942900485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY ADULT CARE INC

Provider Business Mailing Address
First Line	:	901 CAMPISI WAY STE 180
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95008-2365
Country	:	US
Telephone Number	:	669-295-2600
Fax Number	:	669-295-2620

Provider Business Practice Location Address
First Line	:	901 CAMPISI WAY STE 180
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95008-2365
Country	:	US
Telephone Number	:	669-295-2600
Fax Number	:	669-295-2620

Authorized Official
Title or Position	:	CEO
Name	:	MR. RIAZ DANEKARI
Credential	:
Telephone Number	:	669-295-2601

Provider Enumeration Date	:	03/03/2023
Last Update Date	:	09/22/2023

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Directions to “BAY ADULT CARE INC ” Practice Location

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