Provision Homecare LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

PROVISION HOMECARE LLC

Practice address

1824 Cambridge Cove Cir Apt 201
Lakeland, FL 33810-0016

Phone

(863) 812-6589

NPI assigned

Jul 27, 2021

Last updated

Jul 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valerie Thomas

Title

Owner

Phone

(863) 812-6589

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1659044535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 CAMBRIDGE COVE CIR APT 201",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338100016",
            "telephone_number": "863-812-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 CAMBRIDGE COVE CIR APT 201",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338100016",
            "telephone_number": "863-812-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-812-6589"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Healing Services LLC
• Professional Hearing Care Center
• Abigail K Prosise
• Prosperity Homecare Solutions LLC
• Providence Pharmacy LLC (Providence Pharmacy)
• Vanessa L Prowler, MD
• James F Pruchniewski, DPM
• Alexandra Pruitt
• Psychiatric & Psychological SVCS
• Psychological and Neurobehavioral Services P a

• Homemaker in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.