Organization Active NPI

Bassard Convalescent Hospital, Inc.

  • Skilled Nursing Facility
  • Hayward, CA
National Provider Identifier
1366430415
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BASSARD CONVALESCENT HOSPITAL, INC.
Practice address
3269 D St
Hayward, CA 94541-4585
Phone
(510) 537-6700
Fax
(510) 537-6707
NPI assigned
Oct 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Yvonne Bassard
Title
Administrator/Owner
Phone
(510) 537-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CA Primary

Addresses

Primary practice location

3269 D St
Hayward, CA 94541-4585

Mailing address

3269 D St
Hayward, CA 94541-4585
Phone (510) 537-6700

Other identifiers 1

IdentifierTypeStateIssuer
ZZR06475FMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1366430415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 D ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414585",
            "telephone_number": "510-537-6700",
            "fax_number": "510-537-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3269 D ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414585",
            "telephone_number": "510-537-6700",
            "fax_number": "510-537-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSARD CONVALESCENT HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "BASSARD",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "510-537-6700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06475F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.