Organization Active NPI

Careplus Home Health Care Services, Inc.

  • Home Health Agency
  • Livermore, CA
National Provider Identifier
1114469913
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAREPLUS HOME HEALTH CARE SERVICES, INC.
Practice address
6269 Southfront Rd
Livermore, CA 94551-8215
Phone
(925) 449-2180
Fax
(925) 449-2281
NPI assigned
Nov 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohammed Abdul Majid Siddiqui
Title
Owner/President
Phone
(925) 449-2180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6269 Southfront Rd
Livermore, CA 94551-8215

Mailing address

6269 Southfront Rd
Livermore, CA 94551-8215
Phone (925) 449-2180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170424002397 CA Part A Provider - Home Health Agency 3779869920 Practice locations: Livermore, CA

Home health agency certification: CCN 053178

Legal name
CAREPLUS HOME HEALTH CARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 26, 2018
Last certification
Jul 26, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 27, 2016 in CA
Enrollment address
6269 Southfront Rd
Ste B
Livermore, CA 94551-8215
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Careplus Home Health Care Services, IncCCN 053178
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 26, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2129743Careplus Home Health Care Services Inc6269 Southfront Rd Ste B, Livermore, CA 94551Certificate of waiverApr 24, 2027

National Provider Directory

National Provider Directory

Locations

6269 Southfront Rd
Ste B
Livermore, CA 94551
Phone (925) 667-4916

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mohammed Abdul Majid Siddiqui Individual 5% Or Greater Direct Ownership InterestPresident/Treasurer/VP/Secretary Oct 27, 2016 100%
Corporate OfficerPresident/Treasurer/VP/Secretary Oct 27, 2016 100%
Corporate DirectorPresident/Treasurer/VP/Secretary Oct 27, 2016 100%
W-2 Managing EmployeePresident/Treasurer/VP/Secretary Oct 27, 2016 100%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1114469913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6269 SOUTHFRONT RD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945518215",
            "telephone_number": "925-449-2180",
            "fax_number": "925-449-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6269 SOUTHFRONT RD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945518215",
            "telephone_number": "925-449-2180",
            "fax_number": "925-449-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREPLUS HOME HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "ABDUL MAJID",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "925-449-2180"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

Verify at the official NPI Registry.