Providential Care Services LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

PROVIDENTIAL CARE SERVICES LLC

Practice address

10935 Winds Crossing Dr Ste 500
Charlotte, NC 28273-2302

Phone

(540) 226-5865

NPI assigned

Jul 2, 2021

Organization subpart

No

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

Authorized official

Name

Devin Waiters

Title

Director of Operations

Phone

(980) 310-0589

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1568033306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 WINDS CROSSING DR STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282732302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 WINDS CROSSING DR STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282732302",
            "telephone_number": "540-226-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENTIAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "WAITERS",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "980-310-0589"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Pediatrics
• Providence Physical Medicine PC
• Providence Psychiatric & Behavioral Health Services, Inc
• Providence Transportation Solutions, LLC
• Providence View Counseling & Play Therapy, PLLC
• Provisions Counseling Services
• Provital Transit, LLC
• Provizions Care LLC
• Benjamin Thomas Pruden, M.D.
• Lindsay McCarthy Pruden, PA

• Non-emergency Medical Transport (VAN) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.