# BAY AVENUE CONGREGATE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851186076
- **Authorized official:** MR. SAURABH BHARADWAJ RN (CFO, MEMBER)
- **Authorized official phone:** (562) 331-0332

## Contact information

- **Practice address:** 26197 BAY AVE, MORENO VALLEY, CA 92555-3850
- **Practice address phone:** (562) 331-0332
- **Mailing address:** 272 W 20TH ST, UPLAND, CA 91784-8222
- **Mailing address phone:** (562) 331-0332

## Taxonomy

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

## Other

- **Enumeration date:** 04/09/2025
- **Last updated:** 04/09/2025