Providence Health Care Staffing, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4146 Issued in NC

Legal business name

PROVIDENCE HEALTH CARE STAFFING, INC.

Practice address

1040 Randolph St Ste 42
Thomasville, NC 27360-6384

Phone

(336) 472-3810

Fax

(336) 472-3811

NPI assigned

Aug 20, 2010

Organization subpart

No

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

Authorized official

Name

Leslie Ann Sites-Bryan

Title

Owner

Phone

(336) 472-3810

Specialties & licenses 3

Addresses

Other names 1

• Providence Senior Care Doing business as

Locations

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1619283249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 RANDOLPH ST STE 42",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273606384",
            "telephone_number": "336-472-3810",
            "fax_number": "336-472-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 RANDOLPH ST STE 42",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273606384",
            "telephone_number": "336-472-3810",
            "fax_number": "336-472-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH CARE STAFFING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "SITES-BRYAN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-472-3810"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "HC4146",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HC4146",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter G Prendergast, MD
• Amani Pressley
• Natasha Camille Price
• Rose Ann Pritchett-Pullum, BS
• Hobie Proctor, FNP-C
• Alyssa Pugh, SLP
• Candice Nicole Pugh, LCSW
• Kelli Nicole Ragan
• Arlene Gacutan Ramos, MD
• Caina D Raton

• In Home Supportive Care Agency in Thomasville, NC
• Providers in Thomasville, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.