ALZHEIMER'S SERVICES OF THE EAST BAY, INCORPORATED (NPI# 1891235859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891235859 |
| Entity Type | Organization |
| Organization Name | ALZHEIMER'S SERVICES OF THE EAST BAY, INCORPORATED |
| Other Organization Name | ASEB |
| Practice Address |
1105 Walpert Street Hayward CA 94541 |
| Mailing Address |
2320 Channing Way Berkeley CA 94704-2202 |
| Practice Telephone | 5108881411 |
| Mailing Telephone | (510) 644-8292 |
| Mailing Fax Number | 5105406771 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MS. MICHEAL POPE (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 5106448292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
070000508 | CA | Ambulatory Health Care Facilities |
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
550003551 | CA | Ambulatory Health Care Facilities |
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
070000512 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE OF CALIFORNIA-DEPARTMENT OF PUBLIC HEALTH | 070000512 | 01 |
| CA | STATE OF CALIFORNIA-DEPARTMENT OF PUBLIC HEALTH | 550003551 | 01 |
| CA | STATE OF CALIFORNIA-DEPARTMENT OF PUBLIC HEALTH | 070000508 | 01 |
| Other Name | Type Code |
|---|---|
| ASEB | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2320 Channing Way, Berkeley, CA 947042202 | 5106448292 | 5105406771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972026672 | Alzheimer's Services of The East Bay, Incorporated | Clinic/Center | 43326 Mission Blvd Ste 9, Fremont, CA 94539-5829 | 2017-07-25 |
| Street Address |
1105 WALPERT STREET |
| City | HAYWARD |
| State | CA |
| Zip Code | 94541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264442 | Shraddha P Kalgutkar | Occupational Therapist | Windsor Garden Center of Hayward, 1628 B St, Hayward, Ca 94541, Hayward, CA 94541 | 2020-01-14 |
| 1770068215 | Kiran Prasad | Behavior Technician | 1151 A Street, Hayward, Hayward, CA 94541 | 2018-10-01 |
| 1053813287 | Sarra Elizabeth Marin | Behavior Technician | 19261 Medford Ct, Hayward, CA 94541 | 2018-03-03 |
| 1679073803 | Mark Basta | Optometrist | 1237 B St., Hayward, CA 94541 | 2018-02-14 |
| 1417478389 | James Steven Quinn | Counselor | 590 B Street, Hayward, CA 94541 | 2017-06-30 |
| 1689103020 | Natalie Limm | Psychologist | 25099 Oakridge Court, Hayward, CA 94541 | 2017-06-08 |
| 1760911739 | David Patrick Mcguinness | Counselor | 490 B Street, Hayward, CA 94541 | 2017-06-05 |
| 1013463629 | Diana Consuelo Rais | Social Worker | 1065 A. Street, Hayward, CA 94541 | 2016-09-01 |
| 1417303934 | Maria Hernandez | Social Worker | 22211 Foothill Blvd., Hayward, CA 94541 | 2016-05-13 |
| 1881040061 | Easter Seals Bay Area | Occupational Therapist | 1151 A Street, Hayward, CA 94541 | 2016-05-06 |
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| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
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| 1790314201 | Bright & Right Adult Day Health Care, Inc. | Clinic/Center | 261 S Kenmore Ave, Los Angeles, CA 90004-5604 | 2020-04-06 |
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| 1326674672 | Royal Care Adult Day Health Care, Inc | Clinic/Center | 7237 E Southgate Dr Ste C, Sacramento, CA 95823-2637 | 2020-03-19 |
| 1780210476 | Unique Adult Day Healthcare Inc. | Clinic/Center | 14127 S Tajauta Ave, Compton, CA 90222-3729 | 2020-03-13 |
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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.