Provider Demographics
NPI:1861072340
Name:NEOGEN CARE CORP
Entity type:Organization
Organization Name:NEOGEN CARE CORP
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:818-862-4020
Mailing Address - Street 1:15260 VENTURA BLVD STE 670
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-5396
Mailing Address - Country:US
Mailing Address - Phone:818-658-3323
Mailing Address - Fax:818-658-9679
Practice Address - Street 1:15260 VENTURA BLVD STE 670
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-5341
Practice Address - Country:US
Practice Address - Phone:818-658-3323
Practice Address - Fax:818-658-9679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health