Organization Active NPI

Careway Healthcare Inc

Doing business as Careway Home Health

  • Home Health Agency
  • San Mateo, CA
National Provider Identifier
1750750600
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAREWAY HEALTHCARE INC
Doing business as
Careway Home Health
Practice address
161 W 25TH Ave Ste 206
San Mateo, CA 94403-2284
Phone
(650) 931-4044
NPI assigned
Sep 22, 2015
Last updated
Apr 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Eduardo Mercado
Title
Cfo
Phone
(510) 862-3508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

161 W 25TH Ave Ste 206
San Mateo, CA 94403-2284

Mailing address

2401 Merced St Ste 400
San Leandro, CA 94577-4200
Phone (510) 738-0888

Other names 1

  • Careway Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

2081 Arena Blvd
Ste 260
Sacramento, CA 95834

1528 S El Camino Real
Ste 308
San Mateo, CA 94402

161 W 25th Ave
Ste 206
San Mateo, CA 94403
Phone (650) 931-4044

161 W 25th Ave
Ste 206A
San Mateo, CA 94403
Phone (510) 738-0888

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jul 15, 2020 Change of OwnershipThis provider was the seller BLC Homehealth IncCCN 053137, CA, NPI 1295365658

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1750750600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 MERCED ST STE 400",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774200",
            "telephone_number": "510-738-0888",
            "fax_number": "510-738-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W 25TH AVE STE 206",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032284",
            "telephone_number": "650-931-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREWAY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "510-862-3508"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Careway Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Careway Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.