NPIMap

Organization Active NPI

Bay Nation Home Health Services Inc

  • Home Health Agency
  • Newark, CA
National Provider Identifier
1386093714
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BAY NATION HOME HEALTH SERVICES INC
Practice address
39675 Cedar Blvd Ste 235
Newark, CA 94560-5490
Phone
(510) 789-3866
Fax
(510) 573-6642
NPI assigned
Jun 7, 2016
Last updated
Sep 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Shanawaz Syed
Title
Ceo
Phone
(510) 573-6433

Specialties & licenses 1

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

Addresses

Primary practice location

39675 Cedar Blvd Ste 235
Newark, CA 94560-5490

Mailing address

39675 Cedar Blvd Ste 235
Newark, CA 94560-5490
Phone (510) 789-3866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180605003577 CA Part A Provider - Home Health Agency 0345505798 Practice locations: Newark, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386093714. Details of each certification follow.

Home health agency certification: CCN 553127

Legal name
BAY NATION HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 15, 2019
Last certification
Jan 15, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 21, 2016 in CA
Enrollment address
39675 Cedar Blvd
Ste 1000
Newark, CA 94560-8538

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bay Nation Home Health Services IncCCN 553127 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jan 15, 2019
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
05D2151762Bay Nation Home Health Services Inc39675 Cedar Blvd Ste 235, Newark, CA 94560Certificate of waiverJul 25, 2028

National Provider Directory

National Provider Directory

Locations

39675 Cedar Blvd
Ste 1000
Newark, CA 94560
Phone (510) 573-6433

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Shanawaz Syed Individual 5% Or Greater Direct Ownership Interest Jan 21, 2018 50%
Corporate OfficerPresident Jun 25, 2016 100%
W-2 Managing EmployeeAdministrator Oct 21, 2016 100%
Operational/Managerial ControlAdministrator Jun 25, 2016 100%
Kaaba Yasini Individual 5% Or Greater Direct Ownership Interest Jan 21, 2016 50%
Corporate OfficerBoard Member/Secretary Jun 25, 2016
W-2 Managing EmployeeOffice Manager Jan 26, 2016 100%

Practitioners & affiliated clinicians

Affiliated clinicians 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1386093714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39675 CEDAR BLVD STE 235",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605490",
            "telephone_number": "510-789-3866",
            "fax_number": "510-573-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39675 CEDAR BLVD STE 235",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605490",
            "telephone_number": "510-789-3866",
            "fax_number": "510-573-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY NATION HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "SHANAWAZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-573-6433"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, CA

Sources for this page

Verify at the official NPI Registry.