NORTHBAY HEALTHCARE GROUP NPI 1720070071

NPI Information

NPI: 1720070071
Provider Name: NORTHBAY HEALTHCARE GROUP

Other Name: NORTHBAY HOSPICE AND BEREAVEMENT

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
4520 BUSINESS CENTER DRIVE
SUITE 160
FAIRFIELD, CA
ZIP 94534
Phone: (707) 646-3575
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NORTHBAY HEALTHCARE GROUP is a hospice care community based in Fairfield, CA. NORTHBAY HEALTHCARE GROUP NPI is 1720070071. The provider is registered as an organization entity type.
The provider Other Name Is Northbay Hospice And Bereavement.

The provider's business location address is:

4520 BUSINESS CENTER DRIVE
SUITE 160
FAIRFIELD, CA
ZIP 94534-888
Phone: (707) 646-3575
Fax: (707) 646-3576

The provider's authorized official is Aimee Brewer .
The authorized official title is Ambulatory Division President and has the following contact phone number (707) 646-5700.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 11/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		010000037	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	051651	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE PROVIDER NUMBER
2	HPC01651F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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