Organization Active NPI

Redencion a Lelchuk

  • Intellectual Disabilities Intermediate Care Facility
  • Hayward, CA
National Provider Identifier
1841330065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
REDENCION A LELCHUK
Practice address
27495 Bahama Avenue
Hayward, CA 94545
Phone
(510) 670-0207
Fax
(510) 732-9103
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Redencion Alinas Lelchuk
Title
Owner Administrator
Phone
(510) 887-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

27495 Bahama Avenue
Hayward, CA 94545

Mailing address

2691 Beachwood Street
Hayward, CA 94545
Phone (510) 670-0207

Other identifiers 1

IdentifierTypeStateIssuer
05 G933OtherIDENTIFICATION NUMBER

Other names 1

  • Bahama Home ICF DDH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bahama Home Icf DDH3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841330065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 BEACHWOOD STREET",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94545",
            "telephone_number": "510-670-0207",
            "fax_number": "510-732-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27495 BAHAMA AVENUE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94545",
            "telephone_number": "510-670-0207",
            "fax_number": "510-732-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDENCION A LELCHUK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LELCHUK",
        "authorized_official_first_name": "REDENCION",
        "authorized_official_middle_name": "ALINAS",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "510-887-6677",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDENTIFICATION  NUMBER",
            "identifier": "05 G933",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bahama Home ICF DDH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • 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.