PROVIDENT (NPI# 1316005473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316005473 |
| Entity Type | Organization |
| Organization Name | PROVIDENT |
| Practice Address |
3675 W Outer Rd 203 Arnold MO 63010-5232 |
| Practice Telephone | 3148980102 |
| Practice Fax Number | 6362963249 |
| Mailing Telephone | 3148980102 |
| Mailing Fax Number | 6362963249 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KRISTIN BULIN (DIRECTOR OF COUNSELING DIVISION) |
| Authorized Official Telephone | 3143716500 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 251G00000X | Hospice Care, Community Based | 002589 | MO | Agencies |
| X | 305R00000X | Preferred Provider Organization | SW002589 | MO | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104924745 | Provident | Voluntary or Charitable | 3675 W Outer Rd Ste 203, Arnold, MO 63010-5232 | 2006-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROVIDENT | 2650 Olive St, Saint Louis, MO 63103-1424 |
| Connecticut Business Registrations | PROVIDENT ADVISORS LLC | 294 Grove Lane E, 200, Wayzata, MN 55391 |
| Massachusetts Corporations | PROVIDENT ADVISORY GROUP, INC. | 5 Market St., Amesbury, MA 01913 |
| Massachusetts Corporations | PROVIDENT AGENCY INC. | 272 Alpha Dr., Pittsburgh, PA 15238 |
| New York State Corporations | PROVIDENT AGENCY INC. | 272 Alpha Dr., Pittsburgh, Pa 15238 |
| Virginia Business Entities | PROVIDENT AGENCY INC. | 272 Alpha Dr, Pittsburgh, Pennsylvania 15238 |
| Oklahoma Business Registrations | PROVIDENT AGENCY INC. | P O Box 11588, Pittsburgh, PA 15238-0588 |
| Washington State Corporations | PROVIDENT AGENCY, INC. | 272 Alpha Dr, Pittsburgh, PA 15238-2906 |
| Indiana Business Entities | PROVIDENT AGENCY, INC. | 272 Alpha Drive-p.o. Box 11588, Pittsburgh, PA 15238 |
| New York State Corporations | PROVIDENT ALPINE PARTNERS, L.P. | 150 Great Neck Road, Suite 402, Great Neck, New York 11021 |
| Street Address |
3675 W OUTER RD 203 |
| City | ARNOLD |
| State | MO |
| Zip Code | 63010-5232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255409140 | Angela Carol Cook | Social Worker | 3675 W Outer Rd, Suite 203, Arnold, MO 63010-5232 | 2006-12-01 |
| 1891103289 | Mitchell David Ure | Social Worker | 3675 W Outer Rd, Ste 203, Arnold, MO 63010-5232 | 2014-07-29 |
| 1609059468 | Kenneth A Barrett | Social Worker | 3675 W Outer Rd, Suite 203, Arnold, MO 63010-5232 | 2007-12-14 |
| 1427231315 | Provident Inc. | Social Worker | 3675 W Outer Rd, Arnold, MO 63010-5232 | 2007-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952962474 | Kayla Davelle Thompson | Occupational Therapist | 4 Arnold Park Mall, Arnold, MO 63010 | 2019-06-25 |
| 1750884466 | Casey Brooks | Chiropractor | 28 Fox Valley Ctr, Arnold, MO 63010 | 2018-03-09 |
| 1831628247 | Lice Clinics of America | Technician, Other | 39 Fox Valley, Arnold, MO 63010 | 2017-06-08 |
| 1235668633 | Lauren Mareschal | Occupational Therapist | 4 Arnold Park, Arnold, MO 63010 | 2017-06-08 |
| 1851760292 | Valerie Tribl | Registered Nurse | 3937 Vogel Road, Walgreens Healthcare Clinic, Arnold, MO 63010 | 2015-09-16 |
| 1942615265 | Rachel Kyllo | Dermatology | 3783 Vogel Rd, Arnold, MO 63010 | 2014-06-25 |
| 1538584669 | Alex Sharifian Dds Water Tower Dental Group PC | Dentist | 2231 Michigan Avenue, Arnold, MO 63010 | 2014-02-26 |
| 1669897815 | Diana E Toler | Chiropractor | 2190 Tenbrook Rd, Arnold, MO 63010 | 2014-02-25 |
| 1902163280 | Sheila Kay Schaefer | Physical Therapist | 3488 Jeffco Blvd., Suite 102, Arnold, MO 63010 | 2012-04-11 |
| 1639400179 | Arnold Physical Therapy & Sports Medicine LLC | Clinic/Center | #160 Richardson Crossing, Arnold, MO 63010 | 2010-01-22 |
| Find all providers in zip 63010 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558412 | Avimarie Vitality Home Care LLC | Hospice Care, Community Based | 262 Reasor Dr, Saint Louis, MO 63135-1129 | 2020-11-05 |
| 1992312383 | Specialized Hospice | Hospice Care, Community Based | 2311 S Redwood Ave # Ba, Independence, MO 64057-2405 | 2020-09-29 |
| 1477176345 | Community Hospice of The Carolinas, LLC | Hospice Care, Community Based | 10100 N Ambassador Dr Ste 100b, Kansas City, MO 64153-2313 | 2020-05-26 |
| 1073144572 | Vna Corporation | Hospice Care, Community Based | 1500 Meadow Lake Pkwy Ste 100, Kansas City, MO 64114-1620 | 2020-02-03 |
| 1821648684 | Crown Hospice of Poplar Bluff, LLC | Hospice Care, Community Based | 1125 Herschel Bess Blvd Ste 1, Poplar Bluff, MO 63901-3073 | 2019-09-13 |
| 1518514801 | Appl Orchard Hospice of Missouri Inc | Hospice Care, Community Based | 1600 Genessee St Ste 610, Kansas City, MO 64102-1082 | 2019-08-21 |
| 1811549322 | Allegiance Home Health Care LLC | Hospice Care, Community Based | 6439 Plymouth Ave Ste W116, Saint Louis, MO 63133-1905 | 2019-07-15 |
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1720548522 | Deer Valley Hospice Care LLC | Hospice Care, Community Based | 8600 Airport Rd Ste 103, Saint Louis, MO 63134-1937 | 2019-03-20 |
| 1902361504 | Solace Hospice Care LLC | Hospice Care, Community Based | 14010 Manchester Rd, Manchester, MO 63011-4514 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PROVIDENT.
| 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.