EAST BAY INTEGRATED CARE, INC
NPI 1205946555
Home Health in Pleasant Hill, CA
- Organization
- Home Health
- CLIA Number: 05D2188999
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 07-23-2026
About EAST BAY INTEGRATED CARE, INC
This page provides the complete NPI Profile along with additional information for East Bay Integrated Care, Inc, a provider established in Pleasant Hill, California operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1205946555 assigned on August 2006. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ms. Cindy Siljestrom (Chief Executive Officer)
- NPI
- 1205946555 Verify this NPI
- Provider Name
- EAST BAY INTEGRATED CARE, INC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 3470 BUSKIRK AVE PLEASANT HILL, CA 94523
- Location Phone
- (925) 887-5678
- Location Fax
- (925) 887-5672
- Mailing Address
- 3470 BUSKIRK AVE PLEASANT HILL, CA 94523
- Mailing Phone
- (925) 887-5678
- Mailing Fax
- (925) 887-5672
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-30-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- License State
- CA
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251G00000X | Agencies | Hospice Care, Community Based | (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| HHA57262F | MEDICAID (05) | CA | |
| HPC01547F | MEDICAID (05) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2188999
- Facility Type
- Hospice
- Certificate Effective Date
- July 24, 2024
- Certificate Expiration Date
- July 23, 2026
- Laboratory Director
- RUSS D. GRANICH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to East Bay Integrated Care, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
PLEASANT HILL, CA 94523
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205946555, enumerated as an "organization" on August 30, 2006.
The provider is located at 3470 BUSKIRK AVE PLEASANT HILL, CA 94523 and the phone number is (925) 887-5678.
Home Health with taxonomy code 251E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
