Provider Demographics
NPI:1043765787
Name:BAYAREA CALCARE HEALTH CARE GROUP, INC
Entity Type:Organization
Organization Name:BAYAREA CALCARE HEALTH CARE GROUP, INC
Other - Org Name:BAYAREA CALCARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN JOSE
Authorized Official - Middle Name:MARAMBA
Authorized Official - Last Name:BUGAYONG
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:650-440-3753
Mailing Address - Street 1:2320 WALSH AVE STE J
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-1311
Mailing Address - Country:US
Mailing Address - Phone:669-258-9111
Mailing Address - Fax:669-500-7511
Practice Address - Street 1:2320 WALSH AVE STE J
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-1311
Practice Address - Country:US
Practice Address - Phone:669-258-9111
Practice Address - Fax:669-500-7511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health