Healthcare Provider Details

I. General information

NPI: 1982441168
Provider Name (Legal Business Name): C&V HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2024
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10107 CAMBRIDGE AVE
KANSAS CITY MO
64134-1544
US

IV. Provider business mailing address

11913 FULLER AVE
GRANDVIEW MO
64030-1233
US

V. Phone/Fax

Practice location:
  • Phone: 816-316-3102
  • Fax:
Mailing address:
  • Phone: 816-372-5939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: CHARMETRIA V MCDANIEL
Title or Position: CEO
Credential:
Phone: 816-372-5939