Provision Foundation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PROVISION FOUNDATION

Practice address

1260 W Calle Tuberia
Casa Grande, AZ 85194-8768

Phone

(323) 240-2783

NPI assigned

Jun 11, 2025

Organization subpart

No

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

Authorized official

Name

Tyrease Chapman

Title

President/Ceo

Phone

(323) 240-2783

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1760377691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 W CALLE TUBERIA",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "85194",
            "telephone_number": "323-240-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 W CALLE TUBERIA",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851948768",
            "telephone_number": "323-240-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-05-26",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "TYREASE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "323-240-2783"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.