NPIMap

Organization Active NPI

MVP Support Services, LLC

  • In Home Supportive Care Agency
  • St Augustine, FL
National Provider Identifier
1295977338
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
678512396 Issued in FL
Legal business name
MVP SUPPORT SERVICES, LLC
Practice address
701 San Jose Rd
St Augustine, FL 32086-6551
Phone
(904) 797-4322
Fax
(904) 797-5472
NPI assigned
Apr 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Catherine Michelle Cason
Title
Owner
Phone
(904) 797-4322

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 678512396 FL Primary
In Home Supportive Care Agency 253Z00000X 678512398 FL

Addresses

Primary practice location

701 San Jose Rd
St Augustine, FL 32086-6551

Mailing address

701 San Jose Rd
St Augustine, FL 32086-6551
Phone (904) 797-4322

Other identifiers 2

IdentifierTypeStateIssuer
678512396MedicaidFL
678512398MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
MVP Support Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1295977338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SAN JOSE RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866551",
            "telephone_number": "904-797-4322",
            "fax_number": "904-797-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SAN JOSE RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866551",
            "telephone_number": "904-797-4322",
            "fax_number": "904-797-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "CASON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-797-4322"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "678512396",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "678512398",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678512396",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "678512398",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.