Bay View Rehabilitation Hospital LLC
Organization Active NPI Skilled Nursing Facility · Alameda, CA
NPI 1386998664 · NPPES record last updated Nov 19, 2012
Key facts
- NPI
- 1386998664
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- BAY VIEW REHABILITATION HOSPITAL LLC
- Practice address
- 516 Willow St
Alameda, CA 94501-6132 - Phone
- (310) 266-1080
- Fax
- (714) 256-2003
- NPI assigned
- Nov 7, 2012
- Organization subpart
- No
Authorized official
- Name
- David Johnson
- Title
- Ceo
- Phone
- (310) 266-1080
Owners & managing parties with NPI records 1
-
Anthony E Allen, M.D.
Affiliated clinicians 2
-
Anthony E Allen, M.D.
-
James M Yeh, D.O.
Medicare Care Compare: Nursing home
- Listed as
- Bay View Rehabilitation Hospital, LLC
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Aug 31, 1972
- Medicare certification status
- Active
- Certified beds
- 180 · 166.2 residents per day on average
- Chain
- David Johnson
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2 · fines totaling $201,994
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0597332 | Bay View Rehabilitation Hospital | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Skilled nursing facility certification: CCN 056348
- Legal name
- BAY VIEW REHABILITATION HOSPITAL LLC
- Doing business as
- BAY VIEW REHABILITATION HOSPITAL LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 31, 1972
- Last certification
- Oct 31, 2024
- Beds
- 180
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Meridian Management
- Most recent change of ownership
- Mar 1, 2013
- Organization structure
- LLC · Proprietary
- Enrollment address
- 516 Willow St
Alameda, CA 94501-6132 - Nursing home name
- BAY VIEW REHABILITATION HOSPITAL, LLC
- Affiliated entity
- DAVID JOHNSON
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| David a Johnson |
Operational/Managerial Control | Nov 1, 2012 | |
| Direct Ownership Interest | Nov 1, 2012 | 50% | |
| Anthony Edward Allen |
Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Thomas M Chambers |
Operational/Managerial Control | Nov 1, 2012 | |
| Adp of the SNF | Nov 1, 2012 | ||
| Direct Ownership Interest | Nov 1, 2012 | 50% | |
| Rustico Rayta Punzalan |
Corporate Officer |
May 1, 2024 | |
| Operational/Managerial Control | May 1, 2024 | ||
| Adp of the SNF | May 1, 2024 | ||
| Roland Santos Rabago |
Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130304000413 | CA | Part a Provider - Skilled Nursing Facility | 5890940514 | Practice locations: Alameda, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Yes |
Addresses
Primary practice location
516 Willow St
Alameda, CA 94501-6132
Mailing address
530 N Puente St
Brea, CA 92821-2804
Phone (310) 266-1080
Other providers in Alameda, CA
- Bay Area Community Services, Inc.
- Bay Area Foot Care, Inc.
- Bay Area Medical Supply
- Bay Nutrition Consultants, LLC
- Bay View Dental
- Bayliner Transit L.L.C
- Baypoint Home Health, Inc
- Bethany Katherine Bayraktaroglu
- John Spencer Beall
- Heather Siobhan Bean
All providers in Alameda, CA · Skilled Nursing Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.