Active NPI
CV Care Group, LLC
- Home Health Agency
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CV CARE GROUP, LLC
- Practice address
- 704 Goodlette-Frank Rd N Ste 242&244
Naples, FL 34102-5644 - Phone
- (239) 350-0151
- Fax
- (239) 350-0241
- NPI assigned
- Aug 26, 2020
- 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
- Clark Romain
- Title
- Owner
- Phone
- (239) 350-0151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
704 Goodlette-Frank Rd N Ste 242&244
Naples, FL 34102-5644
Mailing address
704 Goodlette-Frank Rd N Ste 242&244
Naples, FL 34102-5644
Phone (239) 350-0151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241122003050 | FL | Part A Provider - Home Health Agency | 9739598723 | Practice locations: Naples, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1972116283. Details of each certification follow.
Home health agency certification: CCN 687348
- Legal name
- CV CARE GROUP LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 12, 2023
- Last certification
- Sep 22, 2023
- Organization structure
- LLC
- Incorporated
- Jan 1, 2018 in FL
- Enrollment address
- 704 Goodlette-Frank Rd N
Ste 242
Naples, FL 34102-5644
Care Compare: Home health agency
Medicare Care Compare- Listed as
- CV Care Group LLC
- Ownership
- -
- Certified
- Oct 12, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2208666 | CV Care Group LLC | Certificate of waiver | Jan 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
704 Goodlette Rd
Ste 242
Naples, FL 34102
Phone (239) 350-0151
704 Goodlette Rd
Ste 242244
Naples, FL 34102
Phone (239) 350-0151
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Venante Romain | 5% Or Greater Direct Ownership Interest | Jan 1, 2018 | 60% |
| Corporate Director | Jan 1, 2018 | 60% | |
| W-2 Managing Employee | Jan 1, 2018 | 100% | |
| Clark Romain | 5% Or Greater Direct Ownership Interest | Jan 1, 2018 | 40% |
| Corporate Director | Jan 1, 2018 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691712000000",
"number": "1972116283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 GOODLETTE-FRANK RD N STE 242&244",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025644",
"telephone_number": "239-350-0151",
"fax_number": "239-350-0241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 GOODLETTE-FRANK RD N STE 242&244",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025644",
"telephone_number": "239-350-0151",
"fax_number": "239-350-0241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CV CARE GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-26",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A",
"authorized_official_last_name": "ROMAIN",
"authorized_official_first_name": "CLARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "239-350-0151"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.