St Anthony Serenethos SNF,LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ST ANTHONY SERENETHOS SNF,LLC

Practice address

553 Smalley Ave
Hayward, CA 94541-4919

Phone

(510) 733-3877

Fax

(510) 446-8631

NPI assigned

Jan 15, 2015

Organization subpart

No

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

Authorized official

Name

Qing Xie

Title

Ceo

Phone

(151) 073-3387

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• St Anthony Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Skilled nursing facility certification: CCN 055809

Legal name

ST ANTHONY SERENETHOS SNF LLC

Doing business as

ST ANTHONY CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 1978

Last certification

Oct 24, 2024

Beds

30

Ownership / control type

Partnership

Most recent change of ownership

Mar 1, 2015

Organization structure

LLCProprietary

Enrollment address

553 Smalley Ave
Hayward, CA 94541-4919

Nursing home name

ST ANTHONY CARE CENTER

Listed as

St Anthony Care CenterCCN 055809

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

2 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

May 1, 1978

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3025.4 residents per day on average

Penalties (3 years)

1Fines totaling $51,355

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 6

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, Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

Practitioners 1

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

• Gerald Hla Myint, M.D.

  • Internal Medicine Physician
  • Hayward, CA
  • NPI 1073792172
  NPD (past)

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1689063489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 SMALLEY AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414919",
            "telephone_number": "510-733-3877",
            "fax_number": "510-446-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 SMALLEY AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414919",
            "telephone_number": "510-733-3877",
            "fax_number": "510-446-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY SERENETHOS SNF,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "XIE",
        "authorized_official_first_name": "QING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "151-073-3387"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346239928",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689063489",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05809I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Anthony Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarina Spicer
• Stacey Ann Spilly, LCSW
• Andrew Spivack, MSW/ASW
• Ganesan Sriram, MD
• Isabella Ssenyomo
• St Francis Extended Care Inc
• St Francis Medical Group PC
• St Michael Convalescent Hospital Inc
• St. Anthony Care Center, Inc.
• St. Christopher Convalescent Hospital, Inc.

• 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 Feb 17, 2022; 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.