Provision Care Services, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

584420 Issued in NY

Legal business name

PROVISION CARE SERVICES, LLC

Practice address

4653 White Plains Rd
Suite 2
Bronx, NY 10470-1635

Phone

(718) 644-7159

NPI assigned

Apr 3, 2014

Last updated

Apr 3, 2014By 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

Ms. Melissa Hubson, RN

Title

President

Phone

(646) 554-7958

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1396163515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 BRONX RIVER RD",
            "address_2": "#B62",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107087952",
            "telephone_number": "718-644-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4653 WHITE PLAINS RD",
            "address_2": "SUITE 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701635",
            "telephone_number": "718-644-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "HUBSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-554-7958",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "584420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Rest Adult Day Health Care
• Providence Rest Outpatient Rehabilitation
• Keisha Janine Providence, FNP
• Provident Pharma LLC (Morris Ave Pharmacy)
• Winnie Province, RN
• Provista Services Inc (Family Pharmacy)
• Provista Services Inc (Family Speciality Pharmacy)
• Ivan Jakov Prpic, OD
• Prudent Home Health Care Services Inc.
• Tawana Prunty, CASAC-T

• Case Management Agency in Bronx, NY
• Providers in Bronx, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.