Active NPI
Baywood Court
- Skilled Nursing Facility
- Castro Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 550000793
- Legal business name
- BAYWOOD COURT
- Practice address
- 21966 Dolores St
Castro Valley, CA 94546-6959 - Phone
- (510) 733-2102
- Fax
- (510) 733-2480
- NPI assigned
- Feb 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matt Neal
- Title
- President & Ceo
- Phone
- (510) 733-2401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 550000793 | CA | Primary |
Addresses
Primary practice location
21966 Dolores St
Castro Valley, CA 94546-6959
Mailing address
21966 Dolores St
Castro Valley, CA 94546-6959
Phone (510) 733-2102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550000793 | Medicaid | CA |
Other names 1
- Baywood Court Health Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080516000255 | CA | Part A Provider - Skilled Nursing Facility | 8426127416 | Practice locations: Castro Valley, CA |
Skilled nursing facility certification: CCN 555855
- Legal name
- BAYWOOD COURT
- Doing business as
- BAYWOOD COURT HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 5, 2008
- Last certification
- Oct 11, 2024
- Beds
- 56
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 7, 1984 in CA
- Enrollment address
- 21966 Dolores St
Castro Valley, CA 94546-6959 - Nursing home name
- BAYWOOD COURT HEALTH CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Baywood Court Health Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Dec 5, 2008
- Medicare certification status
- Active
- Certified beds
- 56
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1083246 | Baywood Court Health Center | Certificate of waiver | Apr 29, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 40
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Dipa Gupta | Operational/Managerial Control | May 1, 2019 | |
| Adp of the SNF | May 1, 2019 | ||
| Ken Papierniak | Corporate Director | Mar 28, 2025 | |
| Operational/Managerial Control | Mar 28, 2025 | ||
| Managing Control - Governing Body | Mar 28, 2025 | ||
| Adp of the SNF | Mar 28, 2025 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Adp of the SNF | Nov 23, 2016 | ||
| Nancy a Dyar | Corporate Director | Jul 1, 2023 | |
| Operational/Managerial Control | Jul 1, 2023 | ||
| Managing Control - Governing Body | Jul 1, 2023 | ||
| Adp of the SNF | Jul 1, 2023 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Roland Williams | Corporate Director | Dec 16, 2020 | |
| Operational/Managerial Control | Dec 16, 2020 | ||
| Managing Control - Governing Body | Dec 16, 2020 | ||
| Adp of the SNF | Dec 16, 2020 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Elke Sommer | Corporate Director | May 26, 2017 | |
| Operational/Managerial Control | May 26, 2017 | ||
| Managing Control - Governing Body | May 26, 2017 | ||
| Adp of the SNF | May 26, 2017 | ||
| Jennifer Reed | Corporate Officer | Sep 27, 2024 | |
| Corporate Director | Feb 28, 2024 | ||
| Operational/Managerial Control | Feb 28, 2024 | ||
| Managing Control - Governing Body | Feb 28, 2024 | ||
| Adp of the SNF | Feb 28, 2024 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Adp of the SNF | Aug 1, 2017 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Bruce Johnson | Corporate Officer | Sep 27, 2024 | |
| Corporate Director | May 26, 2017 | ||
| Operational/Managerial Control | May 26, 2017 | ||
| Managing Control - Governing Body | May 26, 2017 | ||
| Adp of the SNF | May 26, 2017 | ||
| Wipfli LLP | Operational/Managerial Control | Jul 1, 2020 | |
| Adp of the SNF | Apr 23, 2025 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Dev Mahadevan | Corporate Officer | Oct 7, 2016 | |
| Corporate Director | Dec 2, 2009 | ||
| Operational/Managerial Control | Dec 2, 2009 | ||
| Managing Control - Governing Body | Dec 2, 2009 | ||
| Adp of the SNF | Dec 2, 2009 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Adp of the SNF | May 19, 2021 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Lisa Annette Ray | Operational/Managerial Control | Feb 4, 1990 | |
| Adp of the SNF | Feb 4, 1990 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Baywood Court | 5% Or Greater Direct Ownership Interest | Mar 7, 2011 | 100% |
| Adp of the SNF | Apr 11, 2025 | ||
| Matthew C Neal | Corporate Officer | Jan 6, 2020 | |
| Corporate Director | Jan 6, 2020 | ||
| Operational/Managerial Control | Jan 6, 2020 | ||
| Managing Control - Governing Body | Jan 6, 2020 | ||
| Adp of the SNF | Jan 6, 2020 | ||
| Nathaniel Runas | Operational/Managerial Control | Jun 6, 2016 | |
| Adp of the SNF | Jun 6, 2016 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| Adp of the SNF | Apr 11, 2025 | ||
| George Bischalaney | Corporate Officer | Sep 24, 2022 | |
| Corporate Director | Feb 17, 2021 | ||
| Operational/Managerial Control | Feb 25, 2021 | ||
| Managing Control - Governing Body | Feb 17, 2021 | ||
| Adp of the SNF | Feb 17, 2021 | ||
| Kulwinder Bhatia | Operational/Managerial Control | Nov 20, 2020 | |
| Adp of the SNF | Nov 20, 2020 |
Facilities with the same owner 65
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Longmont, CO
- NPI 1679382519
Wipfli LLP
-
- Skilled Nursing Facility
- Billings, MT
- NPI 1043903420
Wipfli LLP
-
- Nursing Facility/Intermediate Care Facility
- Manchester, NH
- NPI 1235245390
Wipfli LLP
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- San Leandro, CA
- NPI 1518022581
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677196800000",
"number": "1043489016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21966 DOLORES ST",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945466959",
"telephone_number": "510-733-2102",
"fax_number": "510-733-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21966 DOLORES ST",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945466959",
"telephone_number": "510-733-2102",
"fax_number": "510-733-2480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYWOOD COURT",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-25",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A",
"authorized_official_last_name": "NEAL",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "510-733-2401"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "550000793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "550000793",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Baywood Court Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Baywood Court Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Castro Valley, CA
- Bay Area Trauma and Acute Care Surgical Specialists
- Bay Imaging Consultants Medical Group Inc
- Bay Imaging Consultants Medical Group Inc
- Bay Valley Medical Group, Inc.
- Sophie Baylon, RD
- Baywood Court Skilled Nursing Facility
- Baz Allergy, Asthma & Sinus Center, Inc.
- Heather Beck
- Eleanor Beckman, LMFT
- Eric S. Bellfort, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.