BAYWOOD COURT SKILLED NURSING FACILITY (NPI# 1699720862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699720862 |
| Entity Type | Organization |
| Organization Name | BAYWOOD COURT SKILLED NURSING FACILITY |
| Practice Address |
20103 Lake Chabot Rd Castro Valley CA 94546-5341 |
| Mailing Address |
3012 Summit St Oakland CA 94609-3480 |
| Practice Telephone | 5107278290 |
| Practice Fax Number | 5105821730 |
| Mailing Telephone | 5108696591 |
| Mailing Fax Number | 5108696592 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2010-09-13 |
| Authorized Official Name | MR. GEORGE DERBEDROSIAN (REGIONAL DIRECTOR - PFS) |
| Authorized Official Telephone | 5108696163 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDEN MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 140000030 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC55454G | 05 |
| Street Address |
20103 LAKE CHABOT RD |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-5341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122179 | Eden Medical Center | General Acute Care Hospital | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2005-05-23 |
| 1902412430 | Kenneth A Harris | Registered Nurse | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2020-09-21 |
| 1417568916 | Michael A Esparza Md Inc | Surgery | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2020-08-10 |
| 1417596289 | Linda Ann Scott-hickman | Pharmacist | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2019-12-27 |
| 1821598418 | Alyan Ali, M.d., Inc. | Internal Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546 | 2018-02-20 |
| 1508374489 | David C Bonovich Md | Psychiatry & Neurology | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2018-01-13 |
| 1922511278 | Lisa Gaye Quan | Registered Nurse | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2017-11-08 |
| 1114439593 | David Paul Rathmann | Speech-Language Pathologist | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2017-10-25 |
| 1205378668 | Jacqueline Margolese | Nurse Practitioner | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2016-11-15 |
| 1386098309 | Travis Sunlum Lee | Internal Medicine | 20103 Lake Chabot Rd, Castro Valley, CA 94546 | 2016-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013300532 | Genesis Healthcare | Skilled Nursing Facility | 5165 Crane Ave, Castro Valley, CA 94546-2529 | 2015-03-08 |
| 1043489016 | Baywood Court | Skilled Nursing Facility | 21966 Dolores St, Castro Valley, CA 94546-6959 | 2008-02-25 |
| 1194891051 | Redwood Convalescent Hospital, Inc | Skilled Nursing Facility | 22103 Redwood Road, Castro Valley, CA 94546 | 2006-11-24 |
| 1003987546 | Tru-care, Inc. | Skilled Nursing Facility | 20524 Wisteria St, Castro Valley, CA 94546-5523 | 2006-11-13 |
| 1740238575 | Evergreen At Castro Valley, L.L.C. | Skilled Nursing Facility | 20259 Lake Chabot Rd, Castro Valley, CA 94546-5307 | 2006-05-04 |
| 1811366586 | Bilberry Holdings, LLC | Skilled Nursing Facility | 20259 Lake Chabot Rd, Castro Valley, CA 94546-5307 | 2015-09-23 |
| 1669859567 | Valley Pointeidence Opco, LLC | Skilled Nursing Facility | 20090 Stanton Ave, Castro Valley, CA 94546-5203 | 2015-04-29 |
| 1063640597 | United Family Medical Supply, Inc. | Skilled Nursing Facility | 20524 Wisteria St, Castro Valley, CA 94546-5523 | 2009-06-23 |
| 1891964003 | Lifehouse Castro Valley Operations, LLC | Skilled Nursing Facility | 20259 Lake Chabot Rd, Castro Valley, CA 94546-5307 | 2008-02-22 |
| 1538356795 | Castro Valley Health Care Center, Inc. | Skilled Nursing Facility | 20259 Lake Chabot Rd, Castro Valley, CA 94546-5307 | 2007-10-01 |
| Find all providers in CASTRO VALLEY | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.