GREEN VALLEY HOSPICE,INC
NPI 1780966796
Home Health in Roseville, CA

Q: What is Green Valley Home Health Care & Hospice, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since September 15, 2011CLIA 05D2034099 · Waiver

3009 DOUGLAS BLVD, 160, ROSEVILLE, CA 95661(916) 757-6800(916) 787-1001 Get Directions Write a Review

NPPES record last updated: September 22, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Green Valley Hospice,inc NPPES

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

GREEN VALLEY HOSPICE,INC (NPI 1780966796) is a healthcare organization registered as a home health in Roseville, California and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through December 15, 2027 and lists Najmeen Sherazee, President, as its authorized official.

NPPES Registry Identity

NPI1780966796

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameGREEN VALLEY HOME HEALTH CARE & HOSPICE, INC.

Location Address3009 DOUGLAS BLVD, 160Roseville, CA 95661-3859

Mailing Address3009 Douglas Blvd, 160Roseville, CA 95661-3859 · (916) 757-6800 · Fax (916) 787-1001

Phone(916) 757-6800

Fax(916) 787-1001

Organization SubpartNo

Authorized OfficialNajmeen SherazeePresident · (916) 801-7002

Enumeration DateSeptember 15, 2011

Last NPPES UpdateSeptember 22, 2011

✔ NPI 1780966796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

3009 DOUGLAS BLVD, Roseville, CA 95661

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Other Names 1

Doing Business AsGreen Valley Hospice,inc

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Green Valley Hospice,inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20111012000718Part A · HospiceDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

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 05D2034099

Green Valley Hospice, Inc. · Roseville, CA

Active · expires Dec 15, 2027

CLIA Number05D2034099

Laboratory TypeHospice

Certificate Effective DateDecember 16, 2025

Certificate Expiration DateDecember 15, 2027

Laboratory DirectorRussell Vaughan

Laboratory Phone(916) 757-6818

Laboratory LocationGreen Valley Hospice, Inc.3009 Douglas Blvd, Suite 160, Roseville, CA 95661

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY KEMP MD

Family Medicine

3009 DOUGLAS BLVD, SUITE 160
ROSEVILLE, CA 95661

Placer County (916) 757-6800

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 Green Valley Home Health Care & Hospice, Inc.'s NPI number?

The NPI number for Green Valley Home Health Care & Hospice, Inc. is 1780966796. It was assigned to this organization in the NPPES registry on September 15, 2011. The provider is doing business as Green Valley Hospice,inc.

Where is Green Valley Home Health Care & Hospice, Inc. located?

Green Valley Home Health Care & Hospice, Inc. is located at 3009 Douglas Blvd 160, Roseville, CA 95661. The listed phone number is (916) 757-6800.

What is Green Valley Home Health Care & Hospice, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Is Green Valley Home Health Care & Hospice, Inc. enrolled in Medicare?

Yes. Green Valley Home Health Care & Hospice, Inc. is registered in the Medicare PECOS enrollment system.

When is Green Valley Home Health Care & Hospice, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Hospice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Green Valley Home Health Care & Hospice, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2034099) is associated with this NPI, valid through December 15, 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 Green Valley Home Health Care & Hospice, Inc. was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.