Organization Active NPI

Neogreen Solutions Inc

Doing business as Neogen Care

  • Home Health Agency
  • Hayward, CA
National Provider Identifier
1699163113
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEOGREEN SOLUTIONS INC
Doing business as
Neogen Care
Practice address
24301 Southland Dr
Suite B7
Hayward, CA 94545-1542
Phone
(510) 440-1383
Fax
(510) 402-2412
NPI assigned
Jan 6, 2015
Last updated
Jan 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Mrs. Anju Sateesh
Title
President, Ceo
Phone
(510) 440-1383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X CA Primary

Addresses

Primary practice location

24301 Southland Dr
Suite B7
Hayward, CA 94545-1542

Mailing address

24301 Southland Dr
Suite B7
Hayward, CA 94545-1542
Phone (510) 440-1383

Other names 1

  • Neogen Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150826002155 CA Part A Provider - Home Health Agency 5597071258 Practice locations: Hayward, CA; Pleasanton, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699163113. Details of each certification follow.

Home health agency certification: CCN 059727

Legal name
NEOGREEN SOLUTIONS INC
Doing business as
NEOGEN CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 20, 2016
Last certification
Jun 20, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 23, 2010 in CA
Enrollment address
24301 Southland Dr
Ste 401
Hayward, CA 94545-1550

Care Compare: Home health agency

Medicare Care Compare
Listed as
Neogen CareCCN 059727 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jul 20, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

5776 Stoneridge Mall Rd
Ste 320
Pleasanton, CA 94588
Phone (510) 440-1383

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Anju Satheesh Individual 5% Or Greater Direct Ownership Interest Dec 23, 2009 100%
Corporate OfficerPresident & Ceo, Treasurer & Sec Dec 8, 2014 100%
Operational/Managerial ControlPresident & Ceo/Treasurer/Secret Dec 9, 2014 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1699163113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24301 SOUTHLAND DR",
            "address_2": "SUITE B7",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451542",
            "telephone_number": "510-440-1383",
            "fax_number": "510-402-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24301 SOUTHLAND DR",
            "address_2": "SUITE B7",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451542",
            "telephone_number": "510-440-1383",
            "fax_number": "510-402-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOGREEN SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "SATEESH",
        "authorized_official_first_name": "ANJU",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "510-440-1383",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neogen Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.