Organization Active NPI

Caremore Home Health Services Inc

  • Home Health Agency
  • Long Beach, CA
National Provider Identifier
1609162130
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CAREMORE HOME HEALTH SERVICES INC
Practice address
235 E Broadway
Suite 514
Long Beach, CA 90802-3162
Phone
(562) 787-9995
Fax
(562) 285-0559
NPI assigned
Jun 23, 2011
Last updated
Jun 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Donna Irumundomon
Title
President/ Ceo
Phone
(562) 787-9995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

235 E Broadway
Suite 514
Long Beach, CA 90802-3162

Mailing address

235 E Broadway
Suite 514
Long Beach, CA 90802-3162
Phone (562) 787-9995

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120409000017 CA Part A Provider - Home Health Agency 9830350438 Practice locations: Long Beach, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609162130. Details of each certification follow.

Home health agency certification: CCN 059658

Legal name
CAREMORE HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 17, 2015
Last certification
Feb 18, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 6, 2010 in CA
Enrollment address
235 E Broadway 514
Long Beach, CA 90802-7811

Care Compare: Home health agency

Medicare Care Compare
Listed as
Caremore Home Health Services, Inc.CCN 059658 · All quality measures
Ownership
Proprietary
Certified
Jan 17, 2015
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
05D2061601Caremore Home Health Services, Inc.235 East Broadway St, Ste 514, Long Beach, CA 90802Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Locations

235 E Broadway
Ste 514
Long Beach, CA 90802
Phone (562) 243-2141

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
Donna M Irumundomon Individual 5% Or Greater Direct Ownership InterestPresident/Ceo/Management Staff Apr 6, 2010 100%
Corporate OfficerPresident/Ceo Apr 6, 2010 100%
Corporate DirectorPresident/Ceo Apr 6, 2010 100%
W-2 Managing EmployeePresident/Ceo/Management Staff Apr 6, 2010 100%
Operational/Managerial ControlPresident/Ceo Apr 6, 2010 100%

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1609162130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E BROADWAY",
            "address_2": "SUITE 514",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023162",
            "telephone_number": "562-787-9995",
            "fax_number": "562-285-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E BROADWAY",
            "address_2": "SUITE 514",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023162",
            "telephone_number": "562-787-9995",
            "fax_number": "562-285-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMORE HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "IRUMUNDOMON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "562-787-9995"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.