Provisions HHS, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVISIONS HHS, INC

Practice address

1027 S Rainbow Blvd
#207
Las Vegas, NV 89145-6232

Phone

(702) 428-3726

NPI assigned

Dec 8, 2009

Organization subpart

No

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

Authorized official

Name

Miss Olivia Patrice Pettway

Title

Ceo/ Founder

Phone

(702) 428-3726

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1639408453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 S RAINBOW BLVD",
            "address_2": "#207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456232",
            "telephone_number": "702-428-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 S RAINBOW BLVD",
            "address_2": "#207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456232",
            "telephone_number": "702-428-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISIONS HHS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "PETTWAY",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "CEO/ FOUNDER",
        "authorized_official_telephone_number": "702-428-3726",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251E00000X",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shelby Danelle Prows
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• Cornelio A Prudente
• Alice M Prudhomme

• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.