Cvip Enterprises LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

10223601 Issued in PA

Legal business name

CVIP ENTERPRISES LLC

Doing business as

Home Instead Senior Care

Practice address

269 Bennett St
Luzerne, PA 18709-1519

Phone

(570) 714-4260

Fax

(570) 208-7952

NPI assigned

Jun 24, 2010

Last updated

Jun 24, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jay P Maria

Title

Owner

Phone

(570) 714-4260

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Instead Senior Care Doing business as

Tax ID family

Cvip Enterprises LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Home Instead Senior Care

  dba CVIP Enterprises LLC

  • Home Health Agency
  • Wilkes Barre, PA
  • NPI 1568466092
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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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• In Home Supportive Care Agency in Luzerne, PA
• Providers in Luzerne, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.