Providential Homecare

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROVIDENTIAL HOMECARE

Practice address

1445 E Rio Rd Ste 201C
Charlottesville, VA 22901-1751

Phone

(978) 844-6486

NPI assigned

Sep 29, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Juliana Ameyaa Sarpong, REGISTERED NURSE

Title

Director and Administrator

Phone

(978) 844-6486

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1569715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569715200000",
    "number": "1760023998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 E RIO RD STE 201C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011751",
            "telephone_number": "978-844-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 E RIO RD STE 201C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011751",
            "telephone_number": "978-844-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENTIAL HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-29",
        "last_updated": "2019-09-29",
        "status": "A",
        "authorized_official_last_name": "SARPONG",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "AMEYAA",
        "authorized_official_title_or_position": "DIRECTOR AND ADMINISTRATOR",
        "authorized_official_telephone_number": "978-844-6486",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Charlottesville, VA
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• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2019; 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.