Active NPI
Neogreen Solutions Inc
Doing business as Neogen Care
- Home Health Agency
- Hayward, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2015
- 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
- Mrs. Anju Sateesh
- Title
- President, Ceo
- Phone
- (510) 440-1383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Care
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 20, 2016
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Anju Satheesh | 5% Or Greater Direct Ownership Interest | Dec 23, 2009 | 100% |
| Corporate Officer | Dec 8, 2014 | 100% | |
| Operational/Managerial Control | 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.
-
- Physical Therapist
- Hayward, CA
- NPI 1447912001
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.