NPIMap

Organization Active NPI

Incare Home Care, LLC

Doing business as By the Bay Health

  • Home Health Agency
  • Sonoma, CA
National Provider Identifier
1215411848
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
INCARE HOME CARE, LLC
Doing business as
By the Bay Health
Healing at Home
Practice address
355 W Napa St Ste a
Sonoma, CA 95476-6550
Phone
(707) 935-5135
NPI assigned
Sep 19, 2018
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Kelly
Title
Cfo
Phone
(415) 526-5520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

355 W Napa St Ste a
Sonoma, CA 95476-6550

Mailing address

17 E Sir Francis Drake Blvd
Larkspur, CA 94939-1727
Phone (415) 927-2273

Other names 2

  • By the Bay Health Doing business as
  • Healing at Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230915001062 CA Part A Provider - Home Health Agency 0042674673 Practice locations: Sonoma, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215411848. Details of each certification follow.

Home health agency certification: CCN 557041

Legal name
INCARE HOME CARE, LLC
Doing business as
BY THE BAY HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 27, 1989
Last certification
Jul 28, 2017
Ownership / control type
Government Operated
Organization structure
LLCProprietary
Incorporated
Sep 18, 2017 in CA
Enrollment address
355 W Napa St
Ste a
Sonoma, CA 95476-6550

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
By the Bay HealthCCN 557041 · All quality measures
Overall star rating
2.5 of 5
Ownership
Government Operated
Certified
Feb 27, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2279761Incare Home Care, LLC355 W Napa Street Suite a, Sonoma, CA 95476Certificate of waiverApr 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
By the Bay Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

150 Nellen Ave
Corte Madera, CA 94925
Phone (415) 381-1065

17 E Sir Francis Drake Blvd
Ste 212
Larkspur, CA 94939
Phone (415) 673-8989

17 E Sir Francis Drake Blvd
Ste 212216
Larkspur, CA 94939
Phone (415) 673-8989

1540 Market St
Ste 350
San Francisco, CA 94102
Phone (415) 626-5900

180 Redwood St
Ste 350
San Francisco, CA 94102
Phone (415) 218-6103

1902 Van Ness Ave
Fl 2
San Francisco, CA 94109
Phone (415) 321-7134

1900 Ofarrell St
Ste 145
San Mateo, CA 94403
Phone (650) 835-1102

190 W Napa St
Sonoma, CA 95476
Phone (707) 935-7504

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shelby D Decosta-Galdeira Individual Corporate DirectorBoard Director Aug 28, 2019
Costolino Hogan Individual Corporate OfficerChief Financial Officer Nov 10, 2025
W-2 Managing EmployeeChief Financial Officer Nov 10, 2025
Gerald R Peters Individual Corporate DirectorBoard Member Jul 1, 1985
Peter Bussi Individual Corporate OfficerCsio Mar 8, 2021
Joyce Wilson Individual W-2 Managing EmployeeDirector of Patient Care Service Jun 12, 2023
Robertina K Szolarova Individual Corporate OfficerCao Apr 23, 2018
By the Bay Health Organization, Larkspur, CA Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2018 100%
Gregory a Leclaire Individual Corporate DirectorBoard Member Dec 16, 2020
Amira K. S. Barger Individual Corporate DirectorBoard Member Apr 28, 2021
Kenneth G Meislin Individual Corporate DirectorBoard Member Feb 10, 2009
Michelle S Mourad Individual Corporate DirectorBoard Member Aug 28, 2019
Tracy a Hogan Individual Corporate DirectorBoard Member Dec 16, 2020
Wendy C Chow Individual Corporate DirectorBoard Director Dec 15, 2022
Skelly Wingard Individual Corporate OfficerCeo, Board Director Jun 19, 2023 100%
Corporate DirectorCeo, Board Director Jun 19, 2023
Scott T Smith Individual Corporate DirectorBoard Member Feb 27, 2014
Steven Z Pantilat Individual Corporate DirectorBoard Member May 12, 2015
Daniel E Cohn Individual Corporate DirectorBoard Member Nov 13, 2012
Miguel Ruelas Individual Corporate OfficerCdo Jan 1, 2022
Robert J Simon Individual Corporate DirectorBoard Chair and Board Member Mar 1, 2011
Wendy Gaye Ranzau Individual Corporate OfficerCoo May 19, 2014
Michael a Kadel Individual Corporate DirectorVice Chair and Board Director Sep 1, 2009
Julie a Smith Individual W-2 Managing EmployeeReimbursement Manager Apr 11, 2021

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1215411848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 E SIR FRANCIS DRAKE BLVD",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391727",
            "telephone_number": "415-927-2273",
            "fax_number": "888-958-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W NAPA ST STE A",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766550",
            "telephone_number": "707-935-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCARE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "415-526-5520"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "By the Bay Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healing at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sonoma, CA

Sources for this page

Verify at the official NPI Registry.