Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Mountain, LLC

Organization Home Health Agency · NPI 1396110219

Black Mountain, LLC is a Home Health Agency in San Mateo, California. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

177 Bovet Rd Ste 130
San Mateo, CA 94402-3116
Phone: (650) 785-2800
Fax: (650) 785-2801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X

Record details

NPI number1396110219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jake Caruso — Managing Director · (650) 785-2800
Other names Interim Healthcare
NPI enumeratedDecember 3, 2015
Last updated in NPPESDecember 3, 2015
Mailing addressPo Box 72, Burlingame, CA 94011-0072

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