Cvip Enterprises LLC

Key facts

NPI

1003127044

Entity type

Organization (NPI type 2)

Primary specialty

In Home Supportive Care Agency 253Z00000X

License

10223601 (PA)

Legal business name

CVIP ENTERPRISES LLC

Practice address

269 Bennett St
Luzerne, PA 18709-1519

Phone

(570) 714-4260

Fax

(570) 208-7952

NPI assigned

Jun 24, 2010

Organization subpart

No

Authorized official

Name

Mr. Jay P Maria

Title

Owner

Phone

(570) 714-4260

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Home Instead Senior Care Home Health Agency · Wilkes Barre, PA · NPI 1568466092
  NPD tax ID

National Provider Directory

Tax ID family

Cvip Enterprises LLC (2 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Home Instead Senior Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 24, 2010.

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1003127044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 BENNETT ST",
            "city": "LUZERNE",
            "state": "PA",
            "postal_code": "187091519",
            "telephone_number": "570-714-4260",
            "fax_number": "570-208-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 BENNETT ST",
            "city": "LUZERNE",
            "state": "PA",
            "postal_code": "187091519",
            "telephone_number": "570-714-4260",
            "fax_number": "570-208-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVIP ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "MARIA",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-714-4260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "10223601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DEPT OF HEALTH LICENSURE FOR HOME CARE AGENCY",
            "identifier": "10223601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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