Provicare, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVICARE, INC

Practice address

1004 Storrington Dr
Frederick, MD 21702-5140

Phone

(301) 696-1656

NPI assigned

Aug 20, 2013

Last updated

Aug 20, 2013By 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

Mr. Phillip Eiwulley Armah

Title

Owner

Phone

(301) 696-1656

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1295168649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 STORRINGTON DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 STORRINGTON DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025140",
            "telephone_number": "301-696-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVICARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "ARMAH",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "EIWULLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-696-1656",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.