Active NPI
CNM Homecare LLC
- In Home Supportive Care Agency
- Lake Jackson, TX
National Provider Identifier
1326460668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- CNM HOMECARE LLC
- Practice address
- 59 Southernwood CT
Lake Jackson, TX 77566-5061 - Phone
- (979) 418-8131
- NPI assigned
- Jan 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Walls
- Title
- Representative
- Phone
- (210) 607-9368
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
59 Southernwood CT
Lake Jackson, TX 77566-5061
Mailing address
59 Southernwood CT
Lake Jackson, TX 77566-5061
Phone (979) 418-8131
Other names 1
- Caring Senior Service of Brazoria County
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696291200000",
"number": "1326460668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 SOUTHERNWOOD CT",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665061",
"telephone_number": "979-418-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 SOUTHERNWOOD CT",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665061",
"telephone_number": "979-418-8131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CNM HOMECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-06",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A",
"authorized_official_last_name": "WALLS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "REPRESENTATIVE",
"authorized_official_telephone_number": "210-607-9368"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Caring Senior Service of Brazoria County",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Caring Senior Service of Brazoria County",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.