Organization Active NPI

CNM Homecare LLC

  • In Home Supportive Care Agency
  • Lake Jackson, TX
National Provider Identifier
1326460668
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Oct 3, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.