NPIMap

Organization Active NPI

Hayward Sisters Hospital

Doing business as St. Rose Hospital

  • General Acute Care Hospital
  • Hayward, CA
National Provider Identifier
1942298153
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
140000107 Issued in CA
Legal business name
HAYWARD SISTERS HOSPITAL
Doing business as
St. Rose Hospital
Practice address
27200 Calaroga Avenue
Hayward, CA 94545-4339
Phone
(510) 264-4002
Fax
(510) 887-7421
NPI assigned
Oct 11, 2005
Last updated
Apr 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Mr. Lex Reddy
Title
President and Ceo
Phone
(510) 264-4002

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 140000107 CA Primary
Skilled Nursing Facility 314000000X 140000107 CA

Addresses

Primary practice location

27200 Calaroga Avenue
Hayward, CA 94545-4339

Mailing address

27200 Calaroga Avenue
Hayward, CA 94545-4383
Phone (510) 264-4002

Other identifiers 4

IdentifierTypeStateIssuer
HSP40002FMedicaidCA
HSC00002FMedicaidCA
ZZR00002FMedicaidCA
ZZZ92818ZOtherCAPTAN NUMBER FOR MEDICARE 1500 CLAIM FORM BILLING

Other names 1

  • St. Rose Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031022000006 CA Part A Provider - Hospital 2466364203 Practice locations: Hayward, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942298153. Details of each certification follow.

Hospital certification: CCN 050002

Legal name
HAYWARD SISTERS HOSPITAL
Doing business as
ST. ROSE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 20, 1968
Last certification
Apr 5, 2019
Beds
129
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1962 in CA
Enrollment address
27200 Calaroga Ave
Hayward, CA 94545-4339
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
St Rose HospitalCCN 050002 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0699959St Rose Hospital Laboratory27200 Calaroga Ave, Hayward, CA 94545AccreditationNov 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
St Rose Hosp Echocardio3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20055 Lake Chabot Rd
Ste 310
Castro Valley, CA 94546
Phone (510) 483-5500

1900 Mowry Ave
Ste 105
Fremont, CA 94538
Phone (510) 790-2422

662 Mowry Ave
Fremont, CA 94536
Phone (510) 792-3863

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

27206 Calaroga Ave
Ste 104
Hayward, CA 94545
Phone (510) 783-7891

27206 Calaroga Ave
Ste 115
Hayward, CA 94545
Phone (510) 259-1201

2324 Santa Rita Rd
Ste 2
Pleasanton, CA 94566
Phone (925) 846-5100

1650 Jackson St
Ste 101
San Francisco, CA 94109
Phone (415) 858-0905

3081 Teagarden St
San Leandro, CA 94577
Phone (510) 347-4620

575 Lennon Ln
Ste 153
Walnut Creek, CA 94598
Phone (925) 433-8786

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Mario Harding Individual Corporate OfficerChief Administrative Officer Nov 7, 2024
Elizabeth Mahler Individual Corporate Director Nov 7, 2024
Renee Frey Individual W-2 Managing EmployeePatient Financial Services Manager Apr 1, 2015
Romoanetia Lofton Individual Corporate Director Nov 7, 2024
Michael Sarrao Individual Corporate OfficerSecretary Feb 1, 2013
Mark S Fratzke Individual Corporate DirectorBoard Chair Nov 7, 2024
Garrett Randolph Contreras Individual Corporate DirectorBoard Member Oct 15, 2021

Practitioners & affiliated clinicians

Practitioners 137

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.

View all 137

Affiliated clinicians 139

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 139

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1942298153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27200 CALAROGA AVENUE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454383",
            "telephone_number": "510-264-4002",
            "fax_number": "510-887-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27200 CALAROGA AVENUE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454339",
            "telephone_number": "510-264-4002",
            "fax_number": "510-887-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYWARD SISTERS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "LEX",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "510-264-4002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "140000107",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "140000107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40002F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC00002F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR00002F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN NUMBER FOR MEDICARE 1500 CLAIM FORM BILLING",
            "identifier": "ZZZ92818Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Rose Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.