# BAYSHORE HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bella Vista Transitional Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134366529
- **Authorized official:** MS. SOON BURNAM (TREASURER)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 3033 AUGUSTA ST, SAN LUIS OBISPO, CA 93401-5820
- **Practice address phone:** (805) 544-5100
- **Practice address fax:** (805) 544-7209
- **Mailing address:** 3033 AUGUSTA ST, SAN LUIS OBISPO, CA 93401-5820
- **Mailing address phone:** (805) 544-5100
- **Mailing address fax:** (805) 544-7209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 050000083 | CA | Yes |

## Other

- **Enumeration date:** 01/07/2009
- **Last updated:** 06/28/2011