Bay Avenue Congregate LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BAY AVENUE CONGREGATE LLC

Practice address

26197 Bay Ave
Moreno Valley, CA 92555-3850

Phone

(562) 331-0332

NPI assigned

Apr 9, 2025

Last updated

Apr 9, 2025By 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

Mr. Saurabh Bharadwaj, RN

Title

Cfo, Member

Phone

(562) 331-0332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1851186076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 W 20TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917848222",
            "telephone_number": "562-331-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26197 BAY AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553850",
            "telephone_number": "562-331-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AVENUE CONGREGATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "BHARADWAJ",
        "authorized_official_first_name": "SAURABH",
        "authorized_official_title_or_position": "CFO, MEMBER",
        "authorized_official_telephone_number": "562-331-0332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.