PROVIDENCE CARE INC (NPI# 1174026736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174026736 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE CARE INC |
| Other Organization Name | PROVIDENCE CARE INC |
| Practice Address |
808 Bristol Dr Smyrna TN 37167-8329 |
| Practice Telephone | 7343947679 |
| Mailing Telephone | 7343947679 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | SIMPLICIUS E OKORO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7343947679 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
220042 | TN | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
220042 | TN | Nursing Service Providers |
| Y | 251J00000X | Nursing Care | 220042 | TN | Agencies |
| Other Name | Type Code |
|---|---|
| PROVIDENCE CARE INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245376375 | Providence Care Inc | Nursing Care | 5711 Sarvis Ave Ste 608, Riverdale, MD 20737-1394 | 2007-01-29 |
| 1467869602 | Providence Care Inc | Skilled Nursing Facility | 835 Herkimer St, Brooklyn, NY 11233-3031 | 2014-07-21 |
| 1376805630 | Providence Care Inc | Community/Behavioral Health | 216 Nw Broad St Ste B, Fairburn, GA 30213-4106 | 2012-06-13 |
| 1477860112 | Providence Care Inc | Internal Medicine | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 | 2010-09-01 |
| 1962684241 | Providence Care Inc | Pharmacy | 6434 Saratoga Blvd, Ste A, Corpus Christi, TX 78414-3425 | 2007-11-29 |
| Street Address |
808 BRISTOL DR |
| City | SMYRNA |
| State | TN |
| Zip Code | 37167-8329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164925715 | Simplicius E Okoro | Registered Nurse | 808 Bristol Dr, Smyrna, TN 37167-8329 | 2018-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708864 | Results-ast Jv, LLC | Physical Therapist | 741 Presidents Place, Suite 130, Smyrna, TN 37167 | 2020-10-21 |
| 1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
| 1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
| 1932699915 | Jessica Jones | Physical Therapist | 8414, 1173 Rock Springs Rd, Suite 105, Smyrna, TN 37167 | 2018-05-15 |
| 1962920256 | Faithful Horizons Support Services, Inc. | Respite Care | 204 Spirit Hill Circle, Smyrna, TN 37167 | 2017-09-06 |
| 1386185270 | Marie Murphy | Counselor | 695 President Place, Ste 202, Smyrna, TN 37167 | 2017-03-13 |
| 1932556990 | Tamara Tucker | Social Worker | 680 Windellwood Circle, Smyrna, TN 37167 | 2016-05-19 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
| 1548636970 | Hometown Respiratory Consultants Inc | Durable Medical Equipment & Medical Supplies | 13181 Old Nashville Hwy Ste 120, Smyrna, TN 37167 | 2015-08-19 |
| Find all providers in zip 37167 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877356 | Personal Home Care of Atlanta, LLC | Nursing Care | 1864 Cedar Cliff Dr Se, Smyrna, GA 30080-5884 | 2019-12-08 |
| 1942843784 | Kristine Aibangbee | Nursing Care | 2135 Lake Park Dr Se Apt J, Smyrna, GA 30080-7670 | 2019-10-24 |
| 1710545975 | Brooke Lynn Burton | Nursing Care | 602 Walton Way Se, Smyrna, GA 30082-3856 | 2019-06-03 |
| 1588279814 | My Companion & Concierge Services | Nursing Care | 2400 Herodian Way Se Ste 220, Smyrna, GA 30080-8500 | 2020-09-14 |
| 1992348668 | Georgia Advocacy Care | Nursing Care | 2135 Lake Park Dr Se Apt J, Smyrna, GA 30080-7670 | 2019-10-24 |
| 1568635019 | Achieve Nursing Services | Nursing Care | 4045 Orchard Rd Se, Building 300, 2nd, Smyrna, GA 30080-4902 | 2008-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265060420 | Shd Clinical Services | Nursing Care | 4295 Childs Dr, Memphis, TN 38116-6909 | 2020-03-31 |
| 1003454844 | Suncrest Companion Services, LLC | Nursing Care | 113 Cumberland Ave Ste 100, Madison, TN 37115-3339 | 2019-12-11 |
| 1871139873 | Suncrest Companion Services, LLC | Nursing Care | 2606 Corporate Ave E Ste 201b, Memphis, TN 38132-1708 | 2019-11-25 |
| 1861045031 | Suncrest Companion Services, LLC | Nursing Care | 121 N Irwin St Ste B, Manchester, TN 37355-1526 | 2019-07-17 |
| 1679126841 | Suncrest Companion Services, LLC | Nursing Care | 2292 Dalton Dr Ste B, Clarksville, TN 37043-8961 | 2019-07-17 |
| 1578116745 | Suncrest Companion Services, LLC | Nursing Care | 117c E Bryant St Ste B, Smithville, TN 37166-2001 | 2019-07-17 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1366935777 | Horizon Star Healthcare, Inc. | Nursing Care | 2201 Murfreesboro Pike Ste D-109, Nashville, TN 37217 | 2018-06-11 |
| 1497248090 | Cattleya Home Care and Staffing | Nursing Care | 3461 Cloudland Dr, Memphis, TN 38118-8127 | 2018-06-08 |
| 1699272708 | Helping Hands Support Services, Inc. | Nursing Care | 3712 Ringgold Rd # 129, Chattanooga, TN 37412-1638 | 2018-04-06 |
| Find all providers with the same taxonomy | ||||
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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.