Active NPI
Bancroft Health Group, Inc.
- Skilled Nursing Facility
- San Leandro, CA
National Provider Identifier
1649787268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BANCROFT HEALTH GROUP, INC.
- Practice address
- 1475 Bancroft Ave
San Leandro, CA 94577-5105 - Phone
- (510) 483-1680
- NPI assigned
- Jan 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Belinda Leung, RN, NHA, MBA
- Title
- Ceo
- Phone
- (510) 536-1838
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1475 Bancroft Ave
San Leandro, CA 94577-5105
Mailing address
182 Howard St # 334
San Francisco, CA 94105-1611
Phone (510) 536-1838
Other names 1
- Bancroft Healthcare Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180216000750 | CA | Part A Provider - Skilled Nursing Facility | 3173883931 | Practice locations: San Leandro, CA |
Skilled nursing facility certification: CCN 055107
- Legal name
- BANCROFT HEALTH GROUP INC.
- Doing business as
- BANCROFT HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 1, 1977
- Last certification
- Oct 10, 2024
- Beds
- 39
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 16, 2017 in CA
- Enrollment address
- 1475 Bancroft Ave
San Leandro, CA 94577-5105 - Nursing home name
- BANCROFT HEALTHCARE CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Bancroft Healthcare Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 1, 1977
- Medicare certification status
- Active
- Certified beds
- 39
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryLocations
182 Howard St
San Francisco, CA 94105
1475 Bancroft Ave
San Leandro, CA 94577
Phone (510) 483-1680
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Belinda Leung | 5% Or Greater Direct Ownership Interest | Jan 1, 2018 | 50% |
| Corporate Director | Jan 1, 2018 | 50% | |
| W-2 Managing Employee | Jan 1, 2018 | 100% | |
| Operational/Managerial Control | Jan 1, 2018 | 100% | |
| Kenneth Leung | 5% Or Greater Direct Ownership Interest | Jan 10, 2018 | |
| Corporate Director | Jan 1, 2018 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1515024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515024000000",
"number": "1649787268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 HOWARD ST # 334",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941051611",
"telephone_number": "510-536-1838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 BANCROFT AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945775105",
"telephone_number": "510-483-1680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANCROFT HEALTH GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-04",
"last_updated": "2018-01-04",
"status": "A",
"authorized_official_last_name": "LEUNG",
"authorized_official_first_name": "BELINDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "510-536-1838",
"authorized_official_credential": "RN, NHA, MBA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bancroft Healthcare Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.