Provider Demographics
NPI:1689867301
Name:BAYVIEW CARE INC
Entity Type:Organization
Organization Name:BAYVIEW CARE INC
Other - Org Name:HILLTOP CARE AND REHAB. CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PREMA
Authorized Official - Middle Name:
Authorized Official - Last Name:THEKKEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-449-3400
Mailing Address - Street 1:3269 D ST
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-4585
Mailing Address - Country:US
Mailing Address - Phone:510-537-6700
Mailing Address - Fax:
Practice Address - Street 1:3269 D ST
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-4585
Practice Address - Country:US
Practice Address - Phone:510-537-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZR06475GMedicaid
CAZZR06475GMedicaid