Active NPI
CMS Home Care Metro, LLC.
- Home Health Agency
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 21, 2016
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Ponce, PR
- NPI 1225441629
Member Of
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ihcs/CMS Parent LLC | 5% Or Greater Indirect Ownership Interest | Sep 14, 2018 | 100% |
| Donald K Klink | Corporate Officer | Aug 28, 2023 | |
| Ajani Pidikiti Nimmagadda | Corporate Officer | Oct 7, 2024 | |
| Clinical Medical Services, Inc. | 5% Or Greater Indirect Ownership Interest | Sep 14, 2018 | 100% |
| Ihcs/CMS Holdings LLC | 5% Or Greater Indirect Ownership Interest | Sep 14, 2018 | 100% |
| Nautic Partners VIII LP | 5% Or Greater Indirect Ownership Interest | Sep 14, 2018 | 42.2% |
| CMS Home Care LLC | 5% Or Greater Direct Ownership Interest | May 27, 2014 | 100% |
| Christopher Bradbury | Corporate Officer | Aug 26, 2022 | |
| Raul Rodriguez-Alvarez | 5% Or Greater Indirect Ownership Interest | Sep 14, 2018 | 11% |
| Nautic Partners VIII a LP | 5% Or Greater Indirect Ownership Interest | Sep 14, 2018 | 16.4% |
| CMS Purchaser LLC | 5% Or Greater Indirect Ownership Interest | Sep 14, 2018 | 100% |
| Linda J Mendez | Corporate Officer | Sep 14, 2018 | |
| Operational/Managerial Control | 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.
-
- Durable Medical Equipment & Medical Supplies
- Ponce, PR
- NPI 1225441629
5% Or Greater Indirect Ownership Interest
-
- Durable Medical Equipment & Medical Supplies
- Carolina, PR
- NPI 1659363158
5% Or Greater Indirect Ownership Interest
Facilities with the same owner 9
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- 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
-
- 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
-
- Home Health Agency
- Ponce, PR
- NPI 1770907818
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
-
- 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
-
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
-
dba Southeast Homecare
- Home Health Agency
- St Petersburg, FL
- NPI 1376724146
Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP
-
- Home Health Agency
- Jacksonville, FL
- NPI 1790197705
Ihcs/CMS Holdings LLC, Ihcs/CMS Parent LLC, Nautic Partners VIII a LP, Nautic Partners VIII LP
-
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
-
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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.