Provider Demographics
NPI:1255096830
Name:CAREMO PLUS LLC
Entity type:Organization
Organization Name:CAREMO PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PRINCESS ROMA
Authorized Official - Middle Name:K
Authorized Official - Last Name:DE LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-439-7402
Mailing Address - Street 1:1670 S AMPHLETT BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-2533
Mailing Address - Country:US
Mailing Address - Phone:650-439-7402
Mailing Address - Fax:
Practice Address - Street 1:1670 S AMPHLETT BLVD STE 140
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-2533
Practice Address - Country:US
Practice Address - Phone:650-439-7402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health