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BAY HORIZON ICF-DDH
NPI 1003208281
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in San Mateo, CA

Active since February 25, 2015
516 OCEAN VIEW AVE, SAN MATEO, CA 94401(650) 347-1164(650) 348-2795 Get Directions Write a Review

NPPES record last updated: February 25, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bay Horizon Icf-ddh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAY HORIZON ICF-DDH (NPI 1003208281) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in San Mateo, California and active in the NPI registry since February 2015. The organization lists Pureza Aguzar Ganio, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003208281
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameBAY HORIZON ICF-DDH
Location Address516 OCEAN VIEW AVESan Mateo, CA 94401-3029
Mailing Address1565 Royal AveSan Mateo, CA 94401-3432 · (650) 347-1164 · Fax (650) 348-2795
Phone(650) 347-1164
Fax(650) 348-2795
Organization SubpartNo
Authorized OfficialPureza Aguzar GanioCeo · (650) 520-5545
Enumeration DateFebruary 25, 2015
✔ NPI 1003208281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in CA · 220000319
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
516 OCEAN VIEW AVE, San Mateo, CA 94401
Open in Google Maps ↗

Other Identifiers 1

OtherLTC60671GCA · Provider Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALE KOKUA, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
516 OCEAN VIEW AVE
SAN MATEO, CA 94401
San Mateo County (650) 347-1164

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bay Horizon Icf-Ddh's NPI number?

The NPI number for Bay Horizon Icf-Ddh is 1003208281. It was assigned to this organization in the NPPES registry on February 25, 2015.

Where is Bay Horizon Icf-Ddh located?

Bay Horizon Icf-Ddh is located at 516 Ocean View Ave, San Mateo, CA 94401. The listed phone number is (650) 347-1164.

What is Bay Horizon Icf-Ddh's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Bay Horizon Icf-Ddh was last updated on February 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.