Organization Active NPI

Provision Care Home Health LLC

  • Home Health Agency
  • Jupiter, FL
National Provider Identifier
1215596291
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROVISION CARE HOME HEALTH LLC
Practice address
6650 W Indiantown Rd Ste 230-59
Jupiter, FL 33458-4628
Phone
(772) 905-9154
Fax
(561) 972-7039
NPI assigned
Jun 12, 2019
Last updated
Mar 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Grace E Sainvil, RNNPI 1922308600
Title
Registered Nurse
Phone
(772) 905-9154

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6650 W Indiantown Rd Ste 230-59
Jupiter, FL 33458-4628

Mailing address

6650 W Indiantown Rd Ste 230-59
Jupiter, FL 33458-4628
Phone (772) 905-9154

National Provider Directory

National Provider Directory

Locations

1900 Taylor St
#456
Hollywood, FL 33020

6650 W Indiantown Rd
Ste 23059
Jupiter, FL 33458
Phone (772) 905-9154

6650 W Indiantown Rd
Ste 59
Jupiter, FL 33458

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1215596291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W INDIANTOWN RD STE 230-59",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584628",
            "telephone_number": "772-905-9154",
            "fax_number": "561-972-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W INDIANTOWN RD STE 230-59",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584628",
            "telephone_number": "772-905-9154",
            "fax_number": "561-972-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION CARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "SAINVIL",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "772-905-9154",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.