Organization
NORTHBAY HEALTHCARE GROUP
Active
Parent organization
NORTHBAY HEALTHCARE GROUP
Other names
NorthBay Hospice & Bereavement
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHBAY HEALTHCARE GROUP
Authorized official
JOHN DAVID RYLAND (HOSPICE MANAGER)
(707) 646-4095
Entity
Organization
Contact information
Practice address
1101 B.GALE WILSON BLVD, SUITE 101A, FAIRFIELD, CA 94533
(707) 646-3595
(707) 646-3577
Mailing address
4500 BUSINESS CENTER DRIVE, FAIRFIELD, CA 94534-6888
(707) 646-3595
(707) 646-3577
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550009228
DEPARTMENT OF PUBLIC HEALTH LICENSE
CA
05
—
HPC01651F
—
CA
Enumeration date
08/22/2005
Last updated
05/01/2025
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