Active NPI
Provisional Staffing, LLC
- Home Health Agency
- Neenah, WI
National Provider Identifier
1902713548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PROVISIONAL STAFFING, LLC
- Practice address
- 2128 E Prairie Creek Dr
Neenah, WI 54956-5623 - Phone
- (920) 470-9167
- Fax
- (920) 969-0527
- NPI assigned
- Aug 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael C McCarthy
- Title
- Executive Director
- Phone
- (920) 470-9167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2128 E Prairie Creek Dr
Neenah, WI 54956-5623
Mailing address
1461 Kenwood Dr
Menasha, WI 54952-1153
Phone (920) 470-9167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1902713548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1461 KENWOOD DR",
"city": "MENASHA",
"state": "WI",
"postal_code": "549521153",
"telephone_number": "920-470-9167",
"fax_number": "920-969-0527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2128 E PRAIRIE CREEK DR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549565623",
"telephone_number": "920-470-9167",
"fax_number": "920-969-0527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVISIONAL STAFFING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "MCCARTHY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "920-470-9167"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.