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SOUTH BAY HEALTHCARE INC. NPI 1679043814


NPI Information

NPI: 1679043814
Provider Name: SOUTH BAY HEALTHCARE, INC.

Doing Business As: SEQUOIA HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2121678

Address:
830 HILLVIEW CT STE 180
MILPITAS, CA
ZIP 95035
Phone: (510) 460-1102
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SOUTH BAY HEALTHCARE, INC. is a hospice care community based in Milpitas, CA. SOUTH BAY HEALTHCARE, INC. NPI is 1679043814. The provider is registered as an organization entity type.
The provider Is Doing Business As Sequoia Hospice.

The provider's business location address is:

830 HILLVIEW CT STE 180
MILPITAS, CA
ZIP 95035-561
Phone: (510) 460-1102

The provider's authorized official is Lee Johnson .
The authorized official title is Treasurer and has the following contact phone number (208) 401-1369.

The CLIA number assigned to this NPI record is 05D2121678 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2018 and was last updated on 3/17/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

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

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