Bellemeade, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

0200000419 Issued in CA

Legal business name

BELLEMEADE, INC

Practice address

29255 Ruus Rd
Hayward, CA 94544-6334

Phone

(510) 754-8294

NPI assigned

Jan 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathryn Mulsow

Title

Administrator

Phone

(510) 754-8294

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497806681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "MOUNT EDEN",
            "state": "CA",
            "postal_code": "945570095",
            "telephone_number": "510-754-8294",
            "fax_number": "510-537-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29255 RUUS RD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945446334",
            "telephone_number": "510-754-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEMEADE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULSOW",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-754-8294"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "0200000419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LTC PROVIDER NUMBER",
            "identifier": "LTC60559F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicitas Bejarano, LCSW
• Alem Wale Belay
• Herbert M Bell, D.C.
• John Bell, M.D.
• Lauren Bell
• Lucia Belloso
• Bianca Benavidez
• Maria Nina Peret Benin
• Benita B Tan MD Inc
• Brenda Karina Benitez

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hayward, CA
• Providers in Hayward, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.