Provider Demographics
NPI:1629731005
Name:DELTA BAY HEALTHCARE
Entity Type:Organization
Organization Name:DELTA BAY HEALTHCARE
Other - Org Name:ACAVAM HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCAINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-862-4642
Mailing Address - Street 1:5137 LONE TREE WAY
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-8688
Mailing Address - Country:US
Mailing Address - Phone:510-862-4642
Mailing Address - Fax:
Practice Address - Street 1:5137 LONE TREE WAY
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-8688
Practice Address - Country:US
Practice Address - Phone:510-862-4642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health