Organization
BAY AREA CARE TEAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY J O'CONNOR (CHIEF FINANCIAL OFFICER)
(415) 753-0275
Entity
Organization
Contact information
Practice address
2505 TARAVAL STREET, SAN FRANCISCO, CA 94116-2805
(415) 753-0275
(415) 753-0262
Mailing address
2505 TARAVAL STREET, SAN FRANCISCO, CA 94116-2805
(415) 753-0275
(415) 753-0262
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2200301
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
369-2628-5
STATE TAX ID
CA
01
—
HH220000801
OASIS PROVIDER NUMBER
CA
05
—
HHA57557F
—
CA
Enumeration date
07/07/2005
Last updated
04/09/2012
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