Organization Active NPI

Bayhealth Dublin, LLC

  • Home Health Agency
  • Campbell, CA
National Provider Identifier
1780133173
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BAYHEALTH DUBLIN, LLC
Practice address
30 Union Ave
Suite 126
Campbell, CA 95008-3162
Phone
(408) 689-8132
Fax
(408) 369-9914
NPI assigned
Sep 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
Mercy Wey, M.D
Title
President
Phone
(408) 689-8132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

30 Union Ave
Suite 126
Campbell, CA 95008-3162

Mailing address

7027 Dublin Blvd
Ste 100
Dublin, CA 94568-3018
Phone (925) 344-6505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191219000025 CA Part A Provider - Home Health Agency 9133553415 Practice locations: Dublin, CA

Home health agency certification: CCN 559737

Legal name
BAYHEALTH DUBLIN LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 16, 2022
Last certification
Apr 16, 2022
Organization structure
LLCProprietary
Incorporated
Sep 8, 2016 in CA
Enrollment address
7027 Dublin Blvd
Ste 100
Dublin, CA 94568-3018
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bayhealth Dublin LLCCCN 559737
Overall star rating
3 of 5
Ownership
-
Certified
Apr 16, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2199154Bayhealth Dublin LLC7027 Dublin Blvd, Suite 100, Dublin, CA 94568Certificate of waiverNov 4, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Mercy Wey Individual 5% Or Greater Indirect Ownership Interest Sep 8, 2016 50%
Corporate OfficerCeo Nov 21, 2019 50%
Corporate DirectorCeo Nov 21, 2019 50%
W-2 Managing EmployeeManagerial Nov 21, 2019 100%
Tai-Sheng Hwang Individual 5% Or Greater Indirect Ownership Interest Sep 8, 2016 50%
Corporate OfficerCfo/Administrator Nov 21, 2019 100%
Bayhealth Inc. Organization, Campbell, CA Corporation 5% Or Greater Direct Ownership Interest Aug 8, 2016 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1780133173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7027 DUBLIN BLVD",
            "address_2": "STE 100",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683018",
            "telephone_number": "925-344-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 UNION AVE",
            "address_2": "SUITE 126",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950083162",
            "telephone_number": "408-689-8132",
            "fax_number": "408-369-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYHEALTH DUBLIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-689-8132",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.