1. Home
  2. Directory
  3. California
  4. Hayward
  5. Nursing Facility Intermediate Care Facility
  6. NPI Profile

CHENEY HOME ICF-DD/N
NPI 1316315146
Nursing Facility/Intermediate Care Facility in Hayward, CA

Active since September 10, 2015CLIA 05D2104106 · Waiver
2166 BOCA RATON ST, HAYWARD, CA 94545(510) 293-0360(510) 293-0365 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cheney Home Icf-dd/n NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHENEY HOME ICF-DD/N (NPI 1316315146) is a healthcare organization registered as a nursing facility/intermediate care facility in Hayward, California and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Rita I Reginaldo-roxas, Rn/administrator, as its authorized official.

NPPES Registry Identity

NPI1316315146
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameCHENEY HOME ICF-DD/N II
Location Address2166 BOCA RATON STHayward, CA 94545-3534
Mailing Address1755 Canterbury LnHayward, CA 94544-8710 · (510) 861-2635 · Fax (510) 293-0365
Phone(510) 293-0360
Fax(510) 293-0365
Organization SubpartYesParent: Cheney Home Icf-dd/n
Authorized OfficialRita I Reginaldo-roxasRn/administrator · (510) 861-2635
Enumeration DateSeptember 10, 2015
✔ NPI 1316315146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in CA · 550002962
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
2166 BOCA RATON ST, Hayward, CA 94545
Open in Google Maps ↗

Other Names 1

Doing Business AsCheney Home Icf-dd/n

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2104106

Cheney Home Icf-Ddn II · Hayward, CA
Active · expires Oct 26, 2027
CLIA Number05D2104106
Laboratory TypeIcf-Dd/N
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorAshwani K. Bindal, MD
Laboratory Phone(510) 293-0360
Laboratory LocationCheney Home Icf-Ddn II2166 Boca Raton St, Hayward, CA 94545
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheney Home Icf-Dd/N II's NPI number?

The NPI number for Cheney Home Icf-Dd/N II is 1316315146. It was assigned to this organization in the NPPES registry on September 10, 2015. The provider is doing business as Cheney Home Icf-Dd/N.

Where is Cheney Home Icf-Dd/N II located?

Cheney Home Icf-Dd/N II is located at 2166 Boca Raton St, Hayward, CA 94545. The listed phone number is (510) 293-0360.

What is Cheney Home Icf-Dd/N II's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Cheney Home Icf-Dd/N II hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2104106) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cheney Home Icf-Dd/N II was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.