NPIMap

Organization Active NPI

CMS Home Care Sur, LLC.

  • Home Health Agency
  • Ponce, PR
National Provider Identifier
1770907818
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CMS HOME CARE SUR, LLC.
Practice address
2004 Carr 506 Ste 202 - Coto Laurel
Ponce, PR 00780-2936
Phone
(787) 290-1100
Fax
(787) 841-4664
NPI assigned
Feb 10, 2014
Last updated
Feb 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Linda J. Mendez
Title
Chief Operational Officer
Phone
(787) 620-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2004 Carr 506 Ste 202 - Coto Laurel
Ponce, PR 00780-2936

Mailing address

PO Box 3569
Carolina, PR 00984-3569
Phone (787) 290-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140630001893 PR Part A Provider - Home Health Agency 8022233352 Practice locations: Ponce, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770907818. Details of each certification follow.

Home health agency certification: CCN 407036

Legal name
CMS HOME CARE SUR, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 21, 2014
Last certification
Mar 31, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 19, 2009 in PR
Enrollment address
2004 Carr 506
Suite 202 Coto Laurel
Ponce, PR 00780-2928

Care Compare: Home health agency

Medicare Care Compare
Listed as
CMS Home Care Sur LLCCCN 407036 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Oct 21, 2014
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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2004 Carr 506
Ste 202
Coto Laurel, PR 00780
Phone (787) 290-1100

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Ihcs/CMS Parent LLC Organization, Providence, RI LLC 5% Or Greater Indirect Ownership Interest Sep 14, 2018 100%
Donald K Klink Individual Corporate OfficerCfo Aug 28, 2023
Ajani Pidikiti Nimmagadda Individual Corporate OfficerChief Medical Officer Oct 7, 2024
Clinical Medical Services, Inc. Organization, Miramar, FL Corporation 5% Or Greater Indirect Ownership Interest Sep 14, 2018 100%
Ihcs/CMS Holdings LLC Organization, Providence, RI LLC 5% Or Greater Indirect Ownership Interest Sep 14, 2018 100%
Nautic Partners VIII LP Organization, Providence, RI Investment firm 5% Or Greater Indirect Ownership Interest Sep 14, 2018 42.2%
CMS Home Care LLC Organization, Carolina, PR For-profit 5% Or Greater Direct Ownership Interest Mar 12, 2013 100%
Christopher Bradbury Individual Corporate OfficerCeo Aug 26, 2022
Raul Rodriguez-Alvarez Individual 5% Or Greater Indirect Ownership Interest Sep 14, 2018 11%
Nautic Partners VIII a LP Organization, Providence, RI Investment firm 5% Or Greater Indirect Ownership Interest Sep 14, 2018 16.4%
CMS Purchaser LLC Organization, Providence, RI LLC 5% Or Greater Indirect Ownership Interest Sep 14, 2018 100%
Linda J Mendez Individual Corporate OfficerChief Operating Officer/Secretar Sep 14, 2018
Operational/Managerial ControlManager Nov 7, 2013

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • CMS Home Care Metro, LLC.
    • Home Health Agency
    • San Juan, PR
    • NPI 1811370562

    Clinical Medical Services, Inc., CMS Home Care LLC, CMS Purchaser LLC, Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

    CMS ownership
  • CMS Home Care Norte, LLC
    • Home Health Agency
    • Hatillo, PR
    • NPI 1215486964

    Clinical Medical Services, Inc., CMS Home Care LLC, CMS Purchaser LLC, Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

    CMS ownership
  • CMS Home Care Oeste, LLC.
    • Home Health Agency
    • Mayaguez, PR
    • NPI 1568864940

    Clinical Medical Services, Inc., CMS Home Care LLC, CMS Purchaser LLC, Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

    CMS ownership
  • Nueva Vida de la Salud Home Care Corp
    • Home Health Agency
    • Bayamon, PR
    • NPI 1902167703

    Clinical Medical Services, Inc., CMS Home Care LLC, CMS Purchaser LLC, Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

    CMS ownership
  • Alborada Home Health of Tampa, Inc

    dba Southeast Homecare

    • Home Health Agency
    • Tampa, FL
    • NPI 1033469168

    Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

    CMS ownership
  • Alborada Home Health of Tampa, Inc

    dba Southeast Homecare

    • Home Health Agency
    • St Petersburg, FL
    • NPI 1376724146

    Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

    CMS ownership
  • Infinity Home Health Care of Florida Inc.
    • Home Health Agency
    • Jacksonville, FL
    • NPI 1790197705

    Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

    CMS ownership
  • Southeast Homecare LLC

    dba Southeast Homecare

    • Home Health Agency
    • Fort Lauderdale, FL
    • NPI 1003041823

    Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

    CMS ownership
  • Southeast Homecare LLC

    dba Southeast Homecare

    • Home Health Agency
    • Doral, FL
    • NPI 1568697381

    Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 6

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

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1770907818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3569",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843569",
            "telephone_number": "787-290-1100",
            "fax_number": "787-841-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 CARR 506 STE 202 - COTO LAUREL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007802936",
            "telephone_number": "787-290-1100",
            "fax_number": "787-841-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMS HOME CARE SUR, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF OPERATIONAL OFFICER",
        "authorized_official_telephone_number": "787-620-2900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.