NPIMap

Organization Active NPI

Provisions Healthcare LLC.

  • Home Health Agency
  • Eleva, WI
National Provider Identifier
1457745960
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROVISIONS HEALTHCARE LLC.
Practice address
E2535 Cedar Rd
Eleva, WI 54738-9083
Phone
(715) 450-3391
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Katie Anibas
Title
President
Phone
(715) 450-3391

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

E2535 Cedar Rd
Eleva, WI 54738-9083

Mailing address

E2535 Cedar Rd
Eleva, WI 54738-9083
Phone (715) 450-3391

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1457745960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E2535 CEDAR RD",
            "city": "ELEVA",
            "state": "WI",
            "postal_code": "547389083",
            "telephone_number": "715-450-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E2535 CEDAR RD",
            "city": "ELEVA",
            "state": "WI",
            "postal_code": "547389083",
            "telephone_number": "715-450-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISIONS HEALTHCARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "ANIBAS",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-450-3391"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eleva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.