CMV in-Home Assistance, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CMV IN-HOME ASSISTANCE, INC.

Practice address

825 W 3Rd St Ste B
Caruthersville, MO 63830-1236

Phone

(573) 333-3268

Fax

(573) 333-5368

NPI assigned

May 16, 2019

Organization subpart

No

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

Authorized official

Name

Bill Vanderpool

Title

Ceo

Phone

(573) 333-3268

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1629634415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W 3RD ST STE B",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638301236",
            "telephone_number": "573-333-3268",
            "fax_number": "573-333-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W 3RD ST STE B",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638301236",
            "telephone_number": "573-333-3268",
            "fax_number": "573-333-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMV IN-HOME ASSISTANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "VANDERPOOL",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-333-3268"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253Z00000X",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3747P1801X",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372500000X",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caruthersville No 1 Inc (Southgate Living Center)
• Krilurk Chanvitayapongs, R.PH.
• Patricia Ann Clayton
• Marion Amelia Cleek
• CMV Home Medical Supplies, LLC
• CMV-CDS,LLC
• Jennifer Coleman
• Angela Suzanne Constant, FNP
• Penny Gail Cook
• Cotoneaster CDS,LLC

• In Home Supportive Care Agency in Caruthersville, MO
• Providers in Caruthersville, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.