Neogen Care Corp

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NEOGEN CARE CORP

Practice address

15260 Ventura Blvd Ste 670
Sherman Oaks, CA 91403-5341

Phone

(818) 658-3323

Fax

(818) 658-9679

NPI assigned

Apr 9, 2021

Organization subpart

No

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

Authorized official

Name

Anju Satheesh

Title

Ceo

Phone

(818) 862-4020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861072340. Details of each certification follow.

• CCN 059750 Home health agency · Active · Details

Home health agency certification: CCN 059750

Legal name

NEOGEN CARE CORP

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 30, 2016

Last certification

Apr 26, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 12, 2021 in CA

Enrollment address

1241 S Glendale Ave
Ste 203
Glendale, CA 91205-3388

Listed as

Neogen Care CorpCCN 059750 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Jul 30, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Neogen Care Corp

  dba Neogen Care

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1376272740

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 3

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

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Fergus Home Health, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1851768410

  Acquired from, 2021-03-24

  CMS change of ownership

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.

• Brenna Dubick

  • Physical Therapist
  • Glendale, CA
  • NPI 1023887882
  NPD

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1861072340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15260 VENTURA BLVD STE 670",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035396",
            "telephone_number": "818-658-3323",
            "fax_number": "818-658-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15260 VENTURA BLVD STE 670",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035341",
            "telephone_number": "818-658-3323",
            "fax_number": "818-658-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOGEN CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "SATHEESH",
        "authorized_official_first_name": "ANJU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-862-4020"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Gerard Negrete, N.P
• Dennis Alan Nehamen, PH.D.
• Dick-Chong John Nei, DDS
• Neil Hecht, D.P.M
• Sharon Nemec, DDS
• Melissa Nepomuceno, DPT
• Neptune Medical Clinic Inc
• Ness - Nevo Sports and Spine
• Neurobehavioral and Rehabilitation Psychology Consultants (Neurobehavioral Medicine Consultants)
• Neurodiversity Care Center

• Home Health Agency in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.