Brody Bay Healthcare, Inc.
NPI 1487476024ActiveOrganization· Skilled Nursing Facility· Lodi, CA
Skilled Nursing Facility in Lodi, California, registered in NPPES in October 2024. The authorized official on file is Soon Burnam, Secretary. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1487476024 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2024 |
| Last updated in NPPES | Oct 25, 2024 |
| Certified by provider | Oct 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (CA) |
|---|
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