Provider Demographics
NPI:1710330063
Name:CGV HOLDINGS LLC
Entity type:Organization
Organization Name:CGV HOLDINGS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO, CGV HOLDINGS LLC
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:GERARDO
Authorized Official - Last Name:VALENCIANO
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:210-209-0850
Mailing Address - Street 1:19056 SHERWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-3205
Mailing Address - Country:US
Mailing Address - Phone:210-209-0850
Mailing Address - Fax:210-899-0959
Practice Address - Street 1:19056 SHERWOOD TRL
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-3205
Practice Address - Country:US
Practice Address - Phone:210-209-0850
Practice Address - Fax:210-899-0959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-21
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty