Provider Demographics
NPI:1780133173
Name:BAYHEALTH DUBLIN, LLC
Entity type:Organization
Organization Name:BAYHEALTH DUBLIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MERCY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-689-8132
Mailing Address - Street 1:7027 DUBLIN BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-3018
Mailing Address - Country:US
Mailing Address - Phone:925-344-6505
Mailing Address - Fax:
Practice Address - Street 1:30 UNION AVE
Practice Address - Street 2:SUITE 126
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-3162
Practice Address - Country:US
Practice Address - Phone:408-689-8132
Practice Address - Fax:408-369-9914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health