NPIMap

Organization Active NPI

Provision Point LLC

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
National Provider Identifier
1033735071
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROVISION POINT LLC
Practice address
2560 Belmont Ave
Philadelphia, PA 19131
Phone
(215) 207-1073
NPI assigned
Jun 24, 2020
Organization subpart
Yes
Parent organization
DEBRINA CRUSEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debrina Cruse, DMENPI 1396251203
Title
Owner
Phone
(215) 207-1073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Dialysis Equipment & Supplies (DME) 332BD1200X

Addresses

Primary practice location

2560 Belmont Ave
Philadelphia, PA 19131

Mailing address

2560 Belmont Ave Apt 206B
Philadelphia, PA 19131
Phone (215) 207-1073

Other names 1

  • Debrina Cruse Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1033735071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 BELMONT AVE APT 206B",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19131",
            "telephone_number": "215-207-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 BELMONT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19131",
            "telephone_number": "215-207-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION POINT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEBRINA CRUSE",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "CRUSE",
        "authorized_official_first_name": "DEBRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-207-1073",
        "authorized_official_credential": "DME"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Debrina Cruse",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.