Active NPI
Green Valley Home Health Care & Hospice, Inc.
- Home Health Agency
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GREEN VALLEY HOME HEALTH CARE & HOSPICE, INC.
- Practice address
- 3009 Douglas Blvd
160
Roseville, CA 95661-3859 - Phone
- (916) 757-6800
- Fax
- (916) 787-1001
- NPI assigned
- Sep 15, 2011
- 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. Najmeen Sherazee
- Title
- President
- Phone
- (916) 801-7002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3009 Douglas Blvd
160
Roseville, CA 95661-3859
Mailing address
3009 Douglas Blvd
160
Roseville, CA 95661-3859
Phone (916) 757-6800
Other names 1
- Green Valley Hospice,Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111012000718 | CA | Part A Provider - Hospice | 7517139728 | Practice locations: Roseville, CA |
Hospice certification: CCN 551654
- Legal name
- GREEN VALLEY HOME HEALTH CARE & HOSPICE, INC.
- Doing business as
- GREEN VALLEY HOSPICE, INC.
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 3, 2012
- Last certification
- Jul 22, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Aug 1, 2011 in CA
- Enrollment address
- 3009 Douglas Blvd 160
Roseville, CA 95661-4231
Care Compare: Hospice
Medicare Care Compare- Listed as
- Green Valley Hospice, Inc
- Ownership
- For-Profit
- Certified
- Oct 3, 2012
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2034099 | Green Valley Hospice, Inc. | Certificate of waiver | Dec 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
3009 Douglas Blvd
Ste 160
Roseville, CA 95661
Phone (916) 757-6800
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 |
|---|---|---|---|
| Najmeen Sherazee | 5% Or Greater Direct Ownership Interest | Sep 21, 2011 | 67% |
| Corporate Officer | Sep 21, 2011 | 67% | |
| Corporate Director | Jan 12, 2016 | 67% | |
| W-2 Managing Employee | Sep 21, 2011 | 67% | |
| Naeem Wahab | 5% Or Greater Indirect Ownership Interest | Aug 1, 2011 | 33% |
| Corporate Officer | Aug 29, 2011 | 33% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Roseville, CA
- NPI 1255620936
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Student in an Organized Health Care Education/Training Program
- St Petersburg, FL
- NPI 1215355334
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316649600000",
"number": "1780966796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 DOUGLAS BLVD",
"address_2": "160",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613859",
"telephone_number": "916-757-6800",
"fax_number": "916-787-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 DOUGLAS BLVD",
"address_2": "160",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613859",
"telephone_number": "916-757-6800",
"fax_number": "916-787-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN VALLEY HOME HEALTH CARE & HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-22",
"status": "A",
"authorized_official_last_name": "SHERAZEE",
"authorized_official_first_name": "NAJMEEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-801-7002",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Green Valley Hospice,Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.