Civil Assist Patient Care Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CIVIL ASSIST PATIENT CARE SERVICES

Practice address

105 Walnut St
Valley, AL 36854-4240

Phone

(312) 684-6020

NPI assigned

Apr 28, 2023

Last updated

Apr 29, 2023By 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

Antwan CarterNPI 1285334052

Title

President

Phone

(312) 684-6020

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antwan Carter

  • Other Specialist/Technologist
  • Valley, AL
  • NPI 1285334052

  Durable Medical Equipment & Medical Supplies

  NPD Authorized official

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682726400000",
    "number": "1710675475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 JOHNSON LN",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368545523",
            "telephone_number": "312-684-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WALNUT ST",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368544240",
            "telephone_number": "312-684-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIVIL ASSIST PATIENT CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-29",
        "certification_date": "2023-04-29",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ANTWAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-684-6020"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chattahoochee Valley Hospital Society (George H. Lanier Memorial Nursing Home)
• Chattahoochee Valley Hospital Society (Lanier Primary Care Clinic)
• Chattahoochee Valley Hosptial Society
• Jon Chervenak, MHS, OTR/L
• City of Valley EMS
• Jennifer Gilley Close, RD, LD
• Paige J Collins, DMD
• Stephen Michael Collins, MD
• Steven William Cox, ALC
• Christy Denise Crawley, P.T.

• In Home Supportive Care Agency in Valley, AL
• Providers in Valley, AL by specialty
• In Home Supportive Care Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.