CNG International Inc

Organization Active NPI Community Based Hospice Care Agency · American Canyon, CA

NPI 1982176863 · NPPES record last updated May 25, 2021

Key facts

NPI
1982176863
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
Legal business name
CNG INTERNATIONAL INC
Practice address
120 W American Canyon Rd Ste M10
American Canyon, CA 94503-1181
Phone
(707) 853-9579
NPI assigned
Dec 17, 2018
Organization subpart
No

Authorized official

Name
Mr. Kevin Gerber, RN
Title
Ceo
Phone
(707) 853-9579

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 1

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

Corporate family (same tax ID) 1

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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

Medicare Care Compare: Hospice

Listed as
Home Now Healthcare Services CCN A11775
Ownership
For-Profit
Certified
Jan 26, 2021
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Hospice certification: CCN A11775

Legal name
CNG INTERNATIONAL INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 26, 2021
Last certification
Jan 26, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
Corporation · Proprietary
Incorporated
Jan 1, 2004 in CA
Enrollment address
120 W American Canyon Rd
Ste M10
American Canyon, CA 94503-1181

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.

NameRoleSinceShare
Josephine Nerona Gerber
Individual
5% Or Greater Direct Ownership Interest
Owner
Jan 2, 2020 50%
Corporate Officer
Cfo
Jan 2, 2020 50%
Operational/Managerial Control
Director of Nursing
Jan 2, 2020
Kevin E Gerber
Individual
5% Or Greater Direct Ownership Interest Jan 2, 2020
Corporate Officer
Ceo
Jan 2, 2020 50%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Home Now Healthcare Services
American Canyon, CA · CCN 757369
Home health agency Operational/Managerial Control Jan 2, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200421002028 CA Part a Provider - Hospice 7810327533 Practice locations: American Canyon, CA

National Provider Directory

Tax ID family
CNG International Inc (2 organizations share this tax ID)

Locations

120 W American Canyon Rd
Ste M10
American Canyon, CA 94503
Phone (707) 551-0960

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X Yes

Addresses

Primary practice location

120 W American Canyon Rd Ste M10
American Canyon, CA 94503-1181

Mailing address

9268 Hallmark PL
Vallejo, CA 94591-8597
Phone (707) 853-9579

Other names

  • Home Now Healthcare Services Doing business as

Other providers in American Canyon, CA

All providers in American Canyon, CA · Community Based Hospice Care Agency in California

Sources for this page

Verify at the official NPI Registry.