Active NPI
Caremo Plus LLC
- Home Health Agency
- San Mateo, CA
National Provider Identifier
1255096830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Health
- Overall star rating
- Ownership
- -
- Certified
- Jan 31, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2280458 | Caremo Plus LLC | Certificate of waiver | Apr 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ferdinand de Luna | 5% Or Greater Indirect Ownership Interest | Oct 10, 2018 | 25% |
| Cheryll Lagunilla- de Luna | 5% Or Greater Direct Ownership Interest | Oct 21, 2021 | 5% |
| Corporate Director | Oct 21, 2021 | 5% | |
| Operational/Managerial Control | Oct 21, 2021 | 5% | |
| Julieta de Luna | 5% Or Greater Indirect Ownership Interest | Oct 10, 2018 | 25% |
| Rojannie Laurel | 5% Or Greater Direct Ownership Interest | Oct 21, 2021 | 5% |
| Corporate Director | Oct 21, 2021 | 5% | |
| W-2 Managing Employee | Oct 21, 2021 | 5% | |
| Princess de Luna | 5% Or Greater Indirect Ownership Interest | Oct 10, 2018 | 25% |
| Raymund de Luna | 5% Or Greater Direct Ownership Interest | Oct 21, 2021 | 5% |
| 5% Or Greater Indirect Ownership Interest | Oct 10, 2018 | 25% | |
| Corporate Director | Oct 21, 2021 | 5% | |
| W-2 Managing Employee | Oct 21, 2021 | 5% | |
| Four Vanguards LLC | 5% Or Greater Direct Ownership Interest | Oct 21, 2021 | 82.5% |
| Kristine Lagunilla | 5% Or Greater Direct Ownership Interest | Oct 21, 2021 | 2.5% |
| Corporate Director | Oct 21, 2021 | 2.5% | |
| Operational/Managerial Control | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.