Pro-Vision Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRO-VISION SERVICES LLC

Practice address

116 Lakepoint Dr
Harrisburg, PA 17111-2934

Phone

(717) 571-4488

NPI assigned

Apr 6, 2022

Last updated

Apr 6, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thebeetsile Kolka

Title

Owner

Phone

(717) 571-4488

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1205577863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 LAKEPOINT DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 LAKEPOINT DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112934",
            "telephone_number": "717-571-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-VISION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "KOLKA",
        "authorized_official_first_name": "THEBEETSILE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-571-4488"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA HOME CARE FACILITY LICENSE",
            "identifier": "62563601",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://sais.health.pa.gov/commonpoc/dohQALocatorcommon.asp",
            "affiliation": "N",
            "endpointDescription": "PA Home Care Lookup",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "116 Lakepoint Dr",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171112934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.