Organization Active NPI

CV Care Group, LLC

  • Home Health Agency
  • Naples, FL
National Provider Identifier
1972116283
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 11, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Jan 1, 2018 in FL
Enrollment address
704 Goodlette-Frank Rd N
Ste 242
Naples, FL 34102-5644
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
CV Care Group LLCCCN 687348 · All quality measures
Ownership
-
Certified
Oct 12, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2208666CV Care Group LLC704 Goodlette-Frank Rd North Suite 242, Naples, FL 34102Certificate of waiverJan 6, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Venante Romain Individual 5% Or Greater Direct Ownership InterestDirector Jan 1, 2018 60%
Corporate Director Jan 1, 2018 60%
W-2 Managing EmployeeVice President Jan 1, 2018 100%
Clark Romain Individual 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

Verify at the official NPI Registry.