BAY HORIZON ICF / DDH
NPI 1174720072
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in San Mateo, CA

Active since July 02, 2007
516 OCEAN VIEW AVE, SAN MATEO, CA 94401(650) 347-1164 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: July 26, 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 1174720072) 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 July 2007. The organization lists Pureza A. Ganio, Licensee, as its authorized official.

NPPES Registry Identity

NPI1174720072
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameHALE KOKUA, INC.
Location Address516 OCEAN VIEW AVESan Mateo, CA 94401-3029
Mailing Address1433 Dakota AvenueSan Mateo, CA 94401 · (650) 685-4779 · Fax (650) 627-4357
Organization SubpartNo
Authorized OfficialPureza A. GanioLicensee · (650) 520-5545
Enumeration DateJuly 2, 2007
Last NPPES UpdateJanuary 21, 2015
NPI 1174720072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Other Names 1

Other NameBay Horizon Icf / Ddh

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.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
516 OCEAN VIEW AVE
SAN MATEO, CA 94401

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 Hale Kokua, Inc.'s NPI number?

The NPI number for Hale Kokua, Inc. is 1174720072. It was assigned to this organization in the NPPES registry on July 2, 2007. The provider is also known as Bay Horizon Icf / Ddh.

Where is Hale Kokua, Inc. located?

Hale Kokua, Inc. is located at 516 Ocean View Ave, San Mateo, CA 94401. The listed phone number is (650) 347-1164.

What is Hale Kokua, Inc.'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 Hale Kokua, Inc. was last updated on January 21, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.