Organization Active NPI

Caremo Plus LLC

  • Home Health Agency
  • San Mateo, CA
National Provider Identifier
1255096830
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAREMO PLUS LLC
Practice address
1670 S Amphlett Blvd Ste 140
San Mateo, CA 94402-2533
Phone
(650) 439-7402
NPI assigned
Nov 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Princess Roma K De Luna
Title
Vice President
Phone
(650) 439-7402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1670 S Amphlett Blvd Ste 140
San Mateo, CA 94402-2533

Mailing address

1670 S Amphlett Blvd Ste 140
San Mateo, CA 94402-2533
Phone (650) 439-7402

Other names 1

  • CareMo Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231102000327 CA Part A Provider - Home Health Agency 2163878794 Practice locations: San Mateo, CA

Home health agency certification: CCN 757652

Legal name
CAREMO PLUS LLC
Doing business as
CAREMO HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 31, 2024
Last certification
Jan 18, 2024
Organization structure
LLCProprietary
Incorporated
Oct 21, 2021 in CA
Enrollment address
1670 S Amphlett Blvd
Ste 140
San Mateo, CA 94402-2533

Care Compare: Home health agency

Medicare Care Compare
Listed as
Caremo Home HealthCCN 757652
Overall star rating
3.5 of 5
Ownership
-
Certified
Jan 31, 2024
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2280458Caremo Plus LLC1670 S Amphlett Blvd Ste 140, San Mateo, CA 94402Certificate of waiverApr 18, 2027

National Provider Directory

National Provider Directory

Locations

1670 S Amphlett Blvd
Ste 140
San Mateo, CA 94402
Phone (650) 439-7402

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Ferdinand de Luna Individual 5% Or Greater Indirect Ownership Interest Oct 10, 2018 25%
Cheryll Lagunilla- de Luna Individual 5% Or Greater Direct Ownership InterestOwner Oct 21, 2021 5%
Corporate DirectorOwner Oct 21, 2021 5%
Operational/Managerial ControlOwner Oct 21, 2021 5%
Julieta de Luna Individual 5% Or Greater Indirect Ownership Interest Oct 10, 2018 25%
Rojannie Laurel Individual 5% Or Greater Direct Ownership InterestOwner/Director of Nursing Oct 21, 2021 5%
Corporate DirectorOwner/Director of Nursing Oct 21, 2021 5%
W-2 Managing EmployeeDirector of Nursing Oct 21, 2021 5%
Princess de Luna Individual 5% Or Greater Indirect Ownership Interest Oct 10, 2018 25%
Raymund de Luna Individual 5% Or Greater Direct Ownership InterestOwner/Administrator Oct 21, 2021 5%
5% Or Greater Indirect Ownership Interest Oct 10, 2018 25%
Corporate DirectorOwner/Administrator Oct 21, 2021 5%
W-2 Managing EmployeeOwner/Administrator Oct 21, 2021 5%
Four Vanguards LLC Organization, Daly City, CA LLC 5% Or Greater Direct Ownership Interest Oct 21, 2021 82.5%
Kristine Lagunilla Individual 5% Or Greater Direct Ownership InterestOwner Oct 21, 2021 2.5%
Corporate DirectorOwner Oct 21, 2021 2.5%
Operational/Managerial ControlOwner Oct 21, 2021 2.5%

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1255096830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 S AMPHLETT BLVD STE 140",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022533",
            "telephone_number": "650-439-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 S AMPHLETT BLVD STE 140",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022533",
            "telephone_number": "650-439-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMO PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "DE LUNA",
        "authorized_official_first_name": "PRINCESS ROMA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "650-439-7402"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareMo Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.