Prov16, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROV16, LLC

Practice address

1111 S Orchard St Ste 206
Boise, ID 83705-1922

Phone

(208) 285-2353

NPI assigned

Nov 16, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Ruth Herrera

Title

Director of Contract Procurement

Phone

(714) 588-7873

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• A Better Solution In Home Care Doing business as

Electronic endpoints 2

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664582400000",
    "number": "1689330417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 S ORCHARD ST STE 206",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051922",
            "telephone_number": "208-285-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S ORCHARD ST STE 206",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051922",
            "telephone_number": "208-285-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROV16, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACT PROCUREMENT",
        "authorized_official_telephone_number": "714-588-7873",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689330417",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rherrera@absihc.com",
            "affiliation": "N",
            "address_1": "1111 S Orchard St Ste 206",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837051922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "absboise@absihc.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "1111 S Orchard St Ste 206",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837051922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "A Better Solution In Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Better Solution In Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; 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.