Active NPI
Bayhealth Dublin, LLC
- Home Health Agency
- Campbell, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Sep 8, 2016 in CA
- Enrollment address
- 7027 Dublin Blvd
Ste 100
Dublin, CA 94568-3018
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Bayhealth Dublin LLC
- Overall star rating
- Ownership
- -
- Certified
- Apr 16, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2199154 | Bayhealth Dublin LLC | Certificate of waiver | Nov 4, 2026 |
National Provider Directory
National Provider DirectoryMember 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mercy Wey | 5% Or Greater Indirect Ownership Interest | Sep 8, 2016 | 50% |
| Corporate Officer | Nov 21, 2019 | 50% | |
| Corporate Director | Nov 21, 2019 | 50% | |
| W-2 Managing Employee | Nov 21, 2019 | 100% | |
| Tai-Sheng Hwang | 5% Or Greater Indirect Ownership Interest | Sep 8, 2016 | 50% |
| Corporate Officer | Nov 21, 2019 | 100% | |
| Bayhealth Inc. | 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.
-
- Home Health Agency
- Campbell, CA
- NPI 1851520621
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Palo Alto, CA
- NPI 1568986818
Home health agency
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Sacramento, CA
- NPI 1306845888
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.