INTERIM HEALTHCARE
NPI 1396110219
Home Health in San Mateo, CA

Q: What is Black Mountain, LLC's NPI number?

The NPI number for Black Mountain, LLC is 1396110219. It was assigned to this organization in the NPPES registry on December 3, 2015. The provider is doing business as Interim Healthcare.

Q: What is Black Mountain, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since December 03, 2015

177 BOVET RD, SUITE 130, SAN MATEO, CA 94402(650) 785-2800(650) 785-2801 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Interim Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERIM HEALTHCARE (NPI 1396110219) is a healthcare organization registered as a home health in San Mateo, California and active in the NPI registry since December 2015. The organization lists Jake Caruso, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1396110219

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameBLACK MOUNTAIN, LLC

Location Address177 BOVET RD, SUITE 130San Mateo, CA 94402-3116

Mailing AddressPo Box 72Burlingame, CA 94011-0072 · (650) 785-2800 · Fax (650) 785-2801

Phone(650) 785-2800

Fax(650) 785-2801

Organization SubpartNo

Authorized OfficialJake CarusoManaging Director · (650) 785-2800

Enumeration DateDecember 3, 2015

✔ NPI 1396110219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

177 BOVET RD, San Mateo, CA 94402

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Other Names 1

Doing Business AsInterim Healthcare

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUARNERI CHIROPRACTIC INC.

Chiropractor (Neurology)

177 BOVET RD, SUITE 150
SAN MATEO, CA 94402

San Mateo County (650) 375-2545

MICHAEL STUART IMMERMAN MSW

Social Worker (Clinical)

177 BOVET RD, SUITE 540
SAN MATEO, CA 94402

San Mateo County (650) 573-5780

MS. SUSAN RILEY M.S. M.F.C.C.

Marriage & Family Therapist

177 BOVET RD, SUITE 540
SAN MATEO, CA 94402

San Mateo County (650) 341-0468

DR. SEAN O'GRADY D.C.

Chiropractor

177 BOVET RD, SUITE 150
SAN MATEO, CA 94402

San Mateo County (650) 375-2545

SASHA KASHANI VERNICK

Counselor (Mental Health)

177 BOVET RD
SAN MATEO, CA 94402

San Mateo County (650) 299-4777

PACIFIC PSYCARE ASSOCIATES

Psychologist (Clinical)

177 BOVET RD, SUITE 540
SAN MATEO, CA 94402

San Mateo County (650) 341-6663

DR. PAUL JAMES QUARNERI D.C., D.A.C.N.B.

Chiropractor (Neurology)

177 BOVET RD, SUITE 150
SAN MATEO, CA 94402

San Mateo County (650) 375-2545

JSW HOME HEALTH CARE ASSOCIATES, INC

In Home Supportive Care

177 BOVET RD, SUITE 600
SAN MATEO, CA 94402

San Mateo County (650) 425-6035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black Mountain, LLC's NPI number?

The NPI number for Black Mountain, LLC is 1396110219. It was assigned to this organization in the NPPES registry on December 3, 2015. The provider is doing business as Interim Healthcare.

Where is Black Mountain, LLC located?

Black Mountain, LLC is located at 177 Bovet Rd Suite 130, San Mateo, CA 94402. The listed phone number is (650) 785-2800.

What is Black Mountain, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Black Mountain, LLC was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.