EASTBAY HOME HEALTH SERVICES, INC (NPI# 1710986435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710986435 |
| Entity Type | Organization |
| Organization Name | EASTBAY HOME HEALTH SERVICES, INC |
| Practice Address |
1710 Pennsylvania Ave Suite E Fairfield CA 94533-3589 |
| Practice Telephone | 7074281473 |
| Practice Fax Number | 7074281276 |
| Mailing Telephone | 7074281473 |
| Mailing Fax Number | 7074281276 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CRISTINA SANTILLAN (ADMINISTRATOR) |
| Authorized Official Telephone | 7074281473 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HHA08199F | 05 |
| Street Address |
1710 PENNSYLVANIA AVE SUITE E |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-3589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477736395 | Frank W. Hull, M.d. | Optometrist | 1710 Pennsylvania Ave, Suite B, Fairfield, CA 94533-3589 | 2007-12-13 |
| 1861614067 | Kristin Woodbury | Otolaryngology | 1710 Pennsylvania Ave, Ste D, Fairfield, CA 94533-3549 | 2007-05-03 |
| 1598833949 | Oladimeji Fatai Sorunke | Dentist | 1710 Pennsylvania Ave, Suite A, Fairfield, CA 94533-3589 | 2006-12-02 |
| 1518038108 | Mark R Christensen | Optometrist | 1710 Pennsylvania Ave, Suite B, Fairfield, CA 94533-3549 | 2006-11-13 |
| 1073531356 | Murray Alan Woolf | Otolaryngology | 1710 Pennsylvania Ave, Suite D, Fairfield, CA 94533-3589 | 2006-07-17 |
| 1720071327 | Frank W Hull | Ophthalmology | 1710 Pennsylvania Ave, Ste B, Fairfield, CA 94533 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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| 1932740933 | Healing Touch Home Care LLC | Home Health | 7225 Dixie Hwy Ste A, Fairfield, OH 45014-8503 | 2019-10-01 |
| 1235625690 | Alpha & Omega Healthcare LLC | Home Health | 3830 Woodridge Blvd Ste F, Fairfield, OH 45014-7564 | 2018-07-09 |
| 1376032540 | Total Home Healthcare Services LLC | Home Health | 526 Nilles Rd Ste 9, Fairfield, OH 45014-2624 | 2018-05-03 |
| 1629565122 | Ally Angel Care LLC | Home Health | 5128 Pleasant Ave, Fairfield, OH 45014-2611 | 2018-04-19 |
| 1457851636 | Eleos White LLC | Home Health | 1700 Post Rd Ste B3, Fairfield, CT 06824-5726 | 2018-02-14 |
| 1891206942 | Our Compassionate Hearts LLC | Home Health | 5380 Camelot Dr Apt 11, Fairfield, OH 45014-7451 | 2017-10-17 |
| 1760920607 | Faith Home Health Care LLC | Home Health | 271 Us Highway 46 Ste B201, Fairfield, NJ 07004-2430 | 2017-02-10 |
| 1104274166 | New Life Health Care LLC | Home Health | 3607 Woodridge Blvd Apt 9, Fairfield, OH 45014-7512 | 2016-06-01 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.