NPIMap

Organization Active NPI

Carelink Home Health Agency, LLC

Doing business as CareLink Home Health Agency

  • Home Health Agency
  • Burlingame, CA
National Provider Identifier
1396900726
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000756 Issued in CA
Legal business name
CARELINK HOME HEALTH AGENCY, LLC
Doing business as
CareLink Home Health Agency
Practice address
851 Burlway Rd Ste 502
Burlingame, CA 94010-1714
Phone
(650) 375-8223
Fax
(650) 375-8230
NPI assigned
Jul 24, 2008
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Mr. Warren Delfin, RN
Title
Administrator
Phone
(650) 375-8223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000756 CA Primary

Addresses

Primary practice location

851 Burlway Rd Ste 502
Burlingame, CA 94010-1714

Mailing address

851 Burlway Rd Ste 502
Burlingame, CA 94010-1714
Phone (650) 375-8223

Other identifiers 1

IdentifierTypeStateIssuer
550000756OtherCAHOME HEALTH AGENCY LICENSE

Other names 1

  • CareLink Home Health Agency Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100225000340 CA Part A Provider - Home Health Agency 4688718802 Practice locations: Burlingame, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396900726. Details of each certification follow.

Home health agency certification: CCN 059364

Legal name
CARELINK HOME HEALTH AGENCY, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 6, 2012
Last certification
Oct 15, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
851 Burlway Rd
Ste 608
Burlingame, CA 94010-1715

Care Compare: Home health agency

Medicare Care Compare
Listed as
Carelink Home Health Agency LLCCCN 059364 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 6, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

851 Burlway Rd
Ste 215
Burlingame, CA 94010
Phone (650) 375-8223

851 Burlway Rd
Ste 502
Burlingame, CA 94010
Phone (650) 375-8223

851 Burlway Rd
Ste 608
Burlingame, CA 94010
Phone (650) 286-9000

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
Warren S Delfin Individual 5% Or Greater Direct Ownership InterestPresident/Administrator Jun 1, 2020 100%
W-2 Managing EmployeePresident/Administrator Jun 1, 2016 50%

Practitioners & affiliated clinicians

Affiliated clinicians 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1396900726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 BURLWAY RD STE 502",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101714",
            "telephone_number": "650-375-8223",
            "fax_number": "650-375-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 BURLWAY RD STE 502",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101714",
            "telephone_number": "650-375-8223",
            "fax_number": "650-375-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELINK HOME HEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "DELFIN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-375-8223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY LICENSE",
            "identifier": "550000756",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareLink Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CareLink Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.