Provident Home Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0184300 Issued in NJ

Legal business name

PROVIDENT HOME CARE, INC

Practice address

70 Floral Ave
New Providence, NJ 07974-1511

Phone

(908) 264-2641

NPI assigned

Feb 18, 2014

Organization subpart

No

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

Authorized official

Name

Carlos Perez-Santalla

Title

President

Phone

(908) 264-2641

Specialties & licenses 1

Addresses

Other names 1

• Provident Home Care Doing business as

Locations

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1790109437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 FLORAL AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741511",
            "telephone_number": "908-264-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 FLORAL AVE",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741511",
            "telephone_number": "908-264-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENT HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "PEREZ-SANTALLA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-264-2641"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0184300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provident Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie Ann Powers, COTA
• Practical Health Solutions LLC
• Jared Preston, MD
• Promptcare Home Infusion, LLC
• Heather Lynne Provence, PMHNP
• Valerie Kathleen Pyper
• Lucia Quiles, LPC
• Mariela Nohely Ramos
• Anna F Rasmussen, R.N.
• Andrew Joseph Reyes, DNP, APN, FNP-BC

• Home Health Agency in New Providence, NJ
• Providers in New Providence, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.