PROVISION HOME CARE INC. (NPI# 1124150511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124150511 |
| Entity Type | Organization |
| Organization Name | PROVISION HOME CARE INC. |
| Practice Address |
9378 Olive Blvd Suite 215 Saint Louis MO 63132-3215 |
| Practice Telephone | 3145694121 |
| Practice Fax Number | 3145694118 |
| Mailing Telephone | 3145694121 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KENNETH MILLARD ROBERTS (BILLER) |
| Authorized Official Telephone | 3145694121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | CC0635954 | MO | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992775746 | Provision Home Care Inc. | Home Health | 9378 Olive Blvd, Suite 215, Saint Louis, MO 63132-3215 | 2006-01-24 |
| Street Address |
9378 OLIVE BLVD SUITE 215 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63132-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992775746 | Provision Home Care Inc. | Home Health | 9378 Olive Blvd, Suite 215, Saint Louis, MO 63132-3215 | 2006-01-24 |
| 1205479565 | Pamela Terry | Counselor | 9378 Olive Blvd, Saint Louis, MO 63132-3215 | 2019-10-18 |
| 1528515319 | Robert Joseph Vass | Counselor | 9378 Olive Blvd, Saint Louis, MO 63132-3215 | 2016-09-08 |
| 1134570757 | Kristy Cobillas | Counselor | 9378 Olive Blvd, Suete 317, Saint Louis, MO 63132-3215 | 2016-06-24 |
| 1932555992 | Lisa Marie Mottola Ernst | Social Worker | 9378 Olive Blvd, Suite 317, Saint Louis, MO 63132-3215 | 2016-05-09 |
| 1598110512 | Monique Costello | Social Worker | 9378 Olive Blvd, Ste 317, Saint Louis, MO 63132-3215 | 2016-04-27 |
| 1912366741 | Dennis C Hounshell | Counselor | 9378 Olive Blvd, Suite 317, Saint Louis, MO 63132-3215 | 2016-02-22 |
| 1093172421 | Rachel Glass Therapy | Counselor | 9378 Olive Blvd, Suite 318, Saint Louis, MO 63132-3215 | 2016-01-14 |
| 1245615715 | Laura Ampleman | Counselor | 9378 Olive Blvd, Suite 317, Saint Louis, MO 63132-3215 | 2015-07-27 |
| 1215334628 | Mary Singleton | Counselor | 9378 Olive Blvd, Saint Louis, MO 63132-3215 | 2014-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505712 | Takesha Sharice Gates | Home Health | 1614 Page Industrial Blvd, Apt A, Overland, MO 63132 | 2020-07-16 |
| 1962042440 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 9665 Page Avenue, Overland, MO 63132 | 2020-01-13 |
| 1538715354 | Katharine M Rug | Dietitian, Registered | 1177 North Warson Rd, St. Louis, MO 63132 | 2019-08-16 |
| 1194295964 | Rivka Goldenhersh, D.m.d., LLC | Dentist | 620a N Mcknight Rd Ste 2a, Saint Louis, MO 63132 | 2018-12-04 |
| 1265902829 | Danica Dupree | Behavior Technician | 1322 Baur Blvd, Olivette, MO 63132 | 2018-11-27 |
| 1598277766 | Carol Lynne Oliver | Counselor | 10176 Corporate Square Dr Ste Office13, Saint Louis, MO 63132 | 2017-10-27 |
| 1972053783 | Rebecca Newel | Counselor | 9378 Olive Blvd Ste 312, Olivette, MO 63132 | 2016-10-05 |
| 1942654074 | Felicia Harris | Durable Medical Equipment & Medical Supplies | 10096 Page Blvd, St Loius, MO 63132 | 2016-04-14 |
| 1518328087 | Joseph Franklin Doney | Counselor | 10101 Woodfield Lane St., Suite 100, St. Louis, MO 63132 | 2016-03-11 |
| 1528428141 | Visiting Personal Care Attendants | Nursing Care | 9270 Olive Blvd Ste A, Olivette, MO 63132 | 2016-02-24 |
| Find all providers in zip 63132 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033468 | Annette Presley | Home Health | 3008 Glade Ave, Saint Louis, MO 63136-1513 | 2020-11-04 |
| 1558962787 | Thoughti Inc. | Home Health | 911 Washington Ave Ste 433, Saint Louis, MO 63101-1271 | 2020-11-04 |
| 1700487386 | Cwc Ihs, LLC | Home Health | 2347 Vorhof Dr, Saint Louis, MO 63136-5727 | 2020-11-02 |
| 1154922698 | Ericka Nycole Willis | Home Health | 4031 Dryden Ave, Saint Louis, MO 63115-2444 | 2020-11-02 |
| 1275133837 | Delicate Care, LLC | Home Health | 523 Coppinger Dr, Saint Louis, MO 63135-2111 | 2020-10-31 |
| 1629678818 | Modern Day Home Health Care | Home Health | 800 N Tucker Blvd Ste 453, Saint Louis, MO 63101-1000 | 2020-10-28 |
| 1295334407 | Time of Serenity, LLC | Home Health | 5842 Macklind Ave, Saint Louis, MO 63109-3569 | 2020-10-19 |
| 1073112280 | Love Is Key Consumer Direct Services LLC | Home Health | 4261 W Garfield Ave, Saint Louis, MO 63113-2643 | 2020-10-19 |
| 1821696568 | Steady Hand Home Health Care | Home Health | 2014 Nemnich Rd Apt 6, Saint Louis, MO 63136-2948 | 2020-10-14 |
| 1730786633 | Hand of Hearts, LLC | Home Health | 1388 Union Blvd, Saint Louis, MO 63113-1325 | 2020-10-04 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63132 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.