Organization Active NPI

CMS Home Care Metro, LLC.

  • Home Health Agency
  • San Juan, PR
National Provider Identifier
1811370562
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 METRO, LLC.
Practice address
Las Vistas Shopping Village
300 Felisa Rincon de Gautier Av. Suite 23
San Juan, PR 00926
Phone
(787) 762-0889
Fax
(787) 752-6481
NPI assigned
Jun 30, 2015
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 NU Primary

Addresses

Primary practice location

Las Vistas Shopping Village
300 Felisa Rincon de Gautier Av. Suite 23
San Juan, PR 00926

Mailing address

PO Box 3569
Carolina, PR 00984-3569
Phone (787) 762-0889

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151006002114 PR Part A Provider - Home Health Agency 6002124369 Practice locations: San Juan, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811370562. Details of each certification follow.

Home health agency certification: CCN 407048

Legal name
CMS HOME CARE METRO, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 21, 2016
Last certification
Jan 21, 2016
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 27, 2014 in PR
Enrollment address
Las Vistas Shopping Village
300 Felisa Rincon de Gautier, Ste 23
San Juan, PR 00926

Care Compare: Home health agency

Medicare Care Compare
Listed as
CMS Home Care Metro LLCCCN 407048 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jan 21, 2016
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.

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, Miami Lakes, 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 LLC, For-profit 5% Or Greater Direct Ownership Interest May 27, 2014 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.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1811370562",
    "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": "787-762-0889",
            "fax_number": "787-752-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAS VISTAS SHOPPING VILLAGE",
            "address_2": "300 FELISA RINCON DE GAUTIER AV. SUITE 23",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-762-0889",
            "fax_number": "787-752-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMS HOME CARE METRO, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.