Provisions Personal Care Services LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

PROVISIONS PERSONAL CARE SERVICES LLC

Practice address

15254 Old Hammond Hwy
Suite a-3
Baton Rouge, LA 70816-1275

Phone

(225) 272-4146

Fax

(225) 272-4147

NPI assigned

Apr 13, 2008

Organization subpart

No

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

Authorized official

Name

Miss Nellie A Webster, BACHELOR OF ARTS

Title

Director

Phone

(225) 272-4146

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Provisions Personal Care Services Doing business as

Tax ID family

Provision Personal Care Service3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Provision Personal Care Service

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
  • NPI 1942672738
  NPD tax ID
• Provisions Personal Care Services LLC

  • Exclusive Provider Organization
  • Baton Rouge, LA
  • NPI 1881832657
  NPD tax ID

Locations

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

{
    "created_epoch": "1208044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1508039330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15254 OLD HAMMOND HWY",
            "address_2": "SUITE A-3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161275",
            "telephone_number": "225-272-4146",
            "fax_number": "225-272-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15254 OLD HAMMOND HWY",
            "address_2": "SUITE A-3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161275",
            "telephone_number": "225-272-4146",
            "fax_number": "225-272-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISIONS PERSONAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-13",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "NELLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "225-272-4146",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BACHELOR OF ARTS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC0007626",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provisions Personal Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prosperity'Shousecommunitysvs.Inc.
• Peterman Prosser, MD
• Davey L Prout Jr., M.D.
• Providence Medical Clinic
• Provision Personal Care Service
• Provisions Personal Care Services LLC
• Ladetrick Provo
• Tiandra L Provo, MHS
• Margaret Provost, CSW
• Sylvia Provost

• Exclusive Provider Organization in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Exclusive Provider Organization in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.