| Organization Name: | CVIP ENTERPRISES LLC |
| NPI Number: | 1003127044 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAY P MARIA (OWNER) |
| Mailing Address: | 269 Bennett St Luzerne |
| State: | PA US |
| Postal Code: | 187091519 |
| Phone Number: | 5707144260 |
| Fax Number: | 5702087952 |
| NPI Enumeration Date: | 06/24/2010 |
| NPI Last Update Date: | 06/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 10223601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |