Provider Demographics
NPI:1679244933
Name:CAREON HEALTHCARE BAY AREA INC.
Entity Type:Organization
Organization Name:CAREON HEALTHCARE BAY AREA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JITENDRA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-210-4020
Mailing Address - Street 1:5994 W LAS POSITAS BLVD STE 115A
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8525
Mailing Address - Country:US
Mailing Address - Phone:925-605-7355
Mailing Address - Fax:
Practice Address - Street 1:5994 W LAS POSITAS BLVD STE 115A
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8525
Practice Address - Country:US
Practice Address - Phone:925-605-7355
Practice Address - Fax:925-605-7378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-25
Last Update Date:2021-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based