Provision Quality Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PROVISION QUALITY CARE LLC

Practice address

2837 Cimarron TRL
Madison, WI 53719-2412

Phone

(608) 209-1282

NPI assigned

Aug 29, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Sayid Mohamed Jamale

Title

Owner

Phone

(608) 209-1282

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1417836818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 CIMARRON TRL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192412",
            "telephone_number": "608-209-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 CIMARRON TRL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192412",
            "telephone_number": "608-209-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION QUALITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "JAMALE",
        "authorized_official_first_name": "SAYID",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-209-1282",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 29, 2025; 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.