Caringminds Services, Inc.
Organization Active NPI Home Health Agency · Carson, CA
NPI 1508150293 · NPPES record last updated Apr 26, 2016
Key facts
- NPI
- 1508150293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CARINGMINDS SERVICES, INC.
- Practice address
- 454 E Carson Plaza Dr
Ste 216
Carson, CA 90746-3209 - Phone
- (310) 324-5400
- Fax
- (310) 515-6311
- NPI assigned
- May 31, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Chidi Metu
- Title
- President/Ceo
- Phone
- (310) 324-5400
Medicare Care Compare: Home health agency
- Listed as
- Caringminds Services, Inc
- Ownership
- Proprietary
- Certified
- Jan 1, 2014
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2033030 | Caringminds Services, Inc | Certificate of waiver | Nov 20, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Home health agency certification: CCN 059576
- Legal name
- CARINGMINDS SERVICES, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 1, 2014
- Last certification
- Jul 2, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Dec 1, 2010 in CA
- Enrollment address
- 550 E Carson Plaza Dr
Ste 221
Carson, CA 90746-7373
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Ogdinma Metu |
5% Or Greater Direct Ownership Interest | Dec 1, 2010 | 50% |
| Corporate Officer |
Dec 1, 2010 | 50% | |
| W-2 Managing Employee |
Dec 1, 2010 | 50% | |
| Chidi Metu |
5% Or Greater Direct Ownership Interest | Dec 1, 2010 | 50% |
| Corporate Officer |
Dec 1, 2010 | 50% | |
| W-2 Managing Employee |
Dec 1, 2010 | 50% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111028000660 | CA | Part a Provider - Home Health Agency | 1355514894 | Practice locations: Carson, CA |
National Provider Directory
Locations
550 E Carson Plaza Dr
Ste 221
Carson, CA 90746
Phone (310) 324-5400
454 E Carson Plaza Dr
Ste 216
Carson, CA 90746
Phone (310) 324-5400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | CA | Yes |
Addresses
Primary practice location
454 E Carson Plaza Dr
Ste 216
Carson, CA 90746-3209
Mailing address
454 E Carson Plaza Dr
Ste 216
Carson, CA 90746-3209
Phone (310) 324-5400
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- Westley Luke Cariaga
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- Caroldale Home
- Nathaniel O Carpena
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All providers in Carson, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.