Provision Care Consultants LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVISION CARE CONSULTANTS LLC

Practice address

102 Surrey LN
Griffin, GA 30224-8833

Phone

(678) 967-5246

NPI assigned

May 25, 2024

Last updated

May 25, 2024By 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

Breeanna Thompson

Title

Chief Executive Officer

Phone

(678) 967-5246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716595200000",
    "number": "1851131122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SURREY LN",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302248833",
            "telephone_number": "678-967-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SURREY LN",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302248833",
            "telephone_number": "678-967-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION CARE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-25",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BREEANNA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "678-967-5246"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrew Provence, LPC
• Pruitthealth - Griffin, LLC (PruittHealth - Griffin)
• Pruitthealth Home Health - South Atlanta, Inc. (PruittHealth @ Home - Griffin)
• Anita Pryor, NP
• Roshanda Puckett
• Charlene Pugh, NP

• Home Health Agency in Griffin, GA
• Providers in Griffin, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; 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.