Christian Retirement Center of Northern California

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020000013 Issued in CA

Legal business name

CHRISTIAN RETIREMENT CENTER OF NORTHERN CALIFORNIA

Doing business as

Bethesda Home

Practice address

22427 Montgomery St
Hayward, CA 94541-3945

Phone

(510) 538-8300

Fax

(510) 538-8443

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lovian W Ekpenyong, N.H.A.

Title

Administrator

Phone

(707) 342-8398

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bethesda Home Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 056370

Legal name

CHRISTIAN RETIREMENT CENTER OF NORTHERN CALIFORNIA

Doing business as

BETHESDA HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 14, 1972

Last certification

Oct 25, 2024

Beds

40

Ownership / control type

Church Related

Organization structure

CorporationNon-profit

Incorporated

May 24, 1972 in CA

Enrollment address

22427 Montgomery St
Hayward, CA 94541-3945

Nursing home name

BETHESDA HOME

Listed as

Bethesda HomeCCN 056370 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

1 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Church related

Certified

Dec 14, 1972

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

401.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Andrew CHI-Wei NG, MD

  • Internal Medicine Physician
  • Millbrae, CA
  • NPI 1871716910

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1194835017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22427 MONTGOMERY ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413945",
            "telephone_number": "510-538-8300",
            "fax_number": "510-538-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22427 MONTGOMERY ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413945",
            "telephone_number": "510-538-8300",
            "fax_number": "510-538-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN RETIREMENT CENTER OF NORTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "EKPENYONG",
        "authorized_official_first_name": "LOVIAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-342-8398",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N.H.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "020000013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06370F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethesda Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bethesda Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jin A Choi
• Victor Choi
• Evelyn J. Chow, M.D.
• Anshuja Chowdhary, DDS
• Christian Counseling Centers, Inc
• Chiao-Chiao Laura Chu, O.D.
• Victor B. Chu, MD
• Alieza Dawn Vicente Chua
• Wilma Chua, BCBA
• Kandyce Chuman

• Skilled Nursing Facility in Hayward, CA
• Providers in Hayward, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.