BAY HORIZON ICF-DDH – NPI #1003208281
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

BAY HORIZON ICF-DDH is a community based residential treatment facility located in SAN MATEO, CA. NPPES has assigned the NPI number 1003208281 to BAY HORIZON ICF-DDH on February 25, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAY HORIZON ICF-DDH below.

NPI Profile for
BAY HORIZON ICF-DDH

NPI Number
1003208281
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BAY HORIZON ICF-DDH
Primary location
516 OCEAN VIEW AVE
SAN MATEO, CA 94401-3029
Phone: (650) 347-1164 Fax: (650) 348-2795
Mailing address
1565 ROYAL AVE
SAN MATEO, CA 94401-3432
Phone: (650) 347-1164 Fax: (650) 348-2795
Organization Subpart
No
Authorized Official
PUREZA GANIO
CEO
Phone: (650) 520-5545
Updated
Identifiers

Identifiers for BAY HORIZON ICF-DDH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPROVIDER NUMBERCALTC60671G
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
CA 220000319

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.