Provider Demographics
NPI:1710330063
Name:CGV HOLDINGS LLC
Entity Type:Organization
Organization Name:CGV HOLDINGS LLC
Other - Org Name:COMFORCARE HOME CARE-SAN ANTONIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:G
Authorized Official - Last Name:VALENCIANO
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:210-209-0850
Mailing Address - Street 1:211 SWITCH OAK
Mailing Address - Street 2:
Mailing Address - City:SHAVANO PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5621
Mailing Address - Country:US
Mailing Address - Phone:210-209-0850
Mailing Address - Fax:
Practice Address - Street 1:2161 NW MILITARY HWY.
Practice Address - Street 2:SUITE 214
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1875
Practice Address - Country:US
Practice Address - Phone:210-209-0850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care