NPIMap

Organization Active NPI

Rejuvenext, Inc.

Doing business as Ready2Nurse

  • Home Health Agency
  • San Jose, CA
National Provider Identifier
1285163949
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REJUVENEXT, INC.
Doing business as
Ready2Nurse
Practice address
1118 Meridian Ave Ste B
San Jose, CA 95125-4329
Phone
(408) 858-1849
NPI assigned
Jun 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Authorized official

Name
Huichi Wang, BSN, FNPNPI 1720213531
Title
Owner
Phone
(408) 858-1849

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X

Addresses

Primary practice location

1118 Meridian Ave Ste B
San Jose, CA 95125-4329

Mailing address

1129 Mockingbird Hill LN
San Jose, CA 95120-3442

Other names 1

  • Ready2Nurse Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180906001040 CA Part A Provider - Home Health Agency 3072863406 Practice locations: San Jose, CA

Home health agency certification: CCN 553151

Legal name
REJUVENEXT INC
Doing business as
READY2NURSE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 9, 2019
Last certification
Jan 9, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 18, 2007 in CA
Enrollment address
2211 Moorpark Ave
Ste 250
San Jose, CA 95128-2656

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ready2NurseCCN 553151 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jan 9, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2158822Rejuvenext, Inc2211 Moorpark Ave Suite 250, San Jose, CA 95128Certificate of waiverDec 5, 2026

National Provider Directory

National Provider Directory

Locations

1118 Meridian Ave
Ste B
San Jose, CA 95125
Phone (408) 296-9009

2211 Moorpark Ave
Ste 250
San Jose, CA 95128
Phone (408) 296-9009

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Michael Azar Individual 5% Or Greater Direct Ownership Interest Jan 18, 2007 50%
Corporate OfficerVice President, Treasurer Jan 18, 2007 50%
Huichi Wang Individual 5% Or Greater Direct Ownership Interest Jan 18, 2007 50%
Corporate OfficerPresident, Secretary Jan 18, 2007 50%
W-2 Managing EmployeePresident Jan 18, 2007 100%

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1285163949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 MOCKINGBIRD HILL LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951203442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 MERIDIAN AVE STE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951254329",
            "telephone_number": "408-858-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENEXT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "HUICHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-858-1849",
        "authorized_official_credential": "BSN, FNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ready2Nurse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.