Bay Hospice Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BAY HOSPICE CARE, INC.

Practice address

2551 San Ramon Valley Blvd Ste 238B
San Ramon, CA 94583-1664

Phone

(925) 718-8161

Fax

(925) 320-5000

NPI assigned

Nov 5, 2018

Last updated

Nov 5, 2018By 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

Mrs. Shafiqa Ahmadzai

Title

President

Phone

(925) 718-8161

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871061192. Details of each certification follow.

• CCN D61546 Hospice · Active · Details

Hospice certification: CCN D61546

Legal name

BAY HOSPICE CARE, INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 22, 2024

Last certification

Sep 25, 2024

Organization structure

CorporationProprietary

Incorporated

Jun 1, 2018 in CA

Enrollment address

2551 San Ramon Valley Blvd
Ste 221
San Ramon, CA 94583-1662

Listed as

Bay Hospice Care, IncCCN D61546 · All quality measures

Certified

Oct 22, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Affiliated clinicians 1

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

• Pedro Liwanag Cajator, MEDICAL DOCTOR

  • Family Medicine Physician
  • Daly City, CA
  • NPI 1215932793

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1871061192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 SAN RAMON VALLEY BLVD STE 238B",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831664",
            "telephone_number": "925-718-8161",
            "fax_number": "925-320-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 SAN RAMON VALLEY BLVD STE 238B",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831664",
            "telephone_number": "925-718-8161",
            "fax_number": "925-320-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "AHMADZAI",
        "authorized_official_first_name": "SHAFIQA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-718-8161",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Baxley, D.C.
• Bay Area Rehab LLC
• Bay Area Surgical Specialists Inc a Medical Corporation
• Bay Care Transportation LLC
• Bay Home Health Inc
• Bay Pediatric Development
• Be Clinical Incorporated
• Kysha Beach
• Melanie Beardslee, M.S., CCC-SLP
• Kristina Beaver

• Home Health Agency in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.

Verify at the official NPI Registry.