Provider Demographics
NPI:1730935354
Name:NEOGEN CARE LLC
Entity type:Organization
Organization Name:NEOGEN CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANJU
Authorized Official - Middle Name:
Authorized Official - Last Name:SATHEESH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-449-8014
Mailing Address - Street 1:24301 SOUTHLAND DR STE 401
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-1550
Mailing Address - Country:US
Mailing Address - Phone:510-449-8014
Mailing Address - Fax:
Practice Address - Street 1:770 KAPIOLANI BLVD STE 506
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5258
Practice Address - Country:US
Practice Address - Phone:808-620-2801
Practice Address - Fax:510-402-2412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health