PROVISIONS HEALTHCARE LLC.


Address: E2535 Cedar Rd, Eleva, WI 54738-9083
Phone: 7154503391

PROVISIONS HEALTHCARE LLC. (NPI# 1457745960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457745960
Entity Type Organization
Organization Name PROVISIONS HEALTHCARE LLC.
Practice Address E2535 Cedar Rd
Eleva
WI 54738-9083
Practice Telephone 7154503391
Mailing Telephone 7154503391
Enumeration Date 2015-03-23
Last Update Date 2015-03-23
Authorized Official Name KATIE ANIBAS (PRESIDENT)
Authorized Official Telephone 7154503391
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251300000X Local Education Agency (LEA) Agencies
N 251F00000X Home Infusion Agencies
N 253Z00000X In Home Supportive Care Agencies
Y 251E00000X Home Health Agencies

Office Location

Street Address E2535 CEDAR RD
City ELEVA
State WI
Zip Code 54738-9083

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346673688 Nick Samuel Preston Chiropractor 50667 North Main Street, Eleva, WI 54738-0305 2013-08-09
1093944480 Roseann E Carr Massage Therapist S11110 State Road 93, Eleva, WI 54738-4131 2009-07-07
1134651441 Zachary Mestelle Physical Therapist E4050 Interlachen Blvd, Eleva, WI 54738-4139 2017-03-28
1851796353 Melissa Ostertag Dental Hygienist S459 Norden Rd, Eleva, WI 54738-7805 2014-10-27
1174080998 Jerry Kreibich Contractor W25551 Us Highway 10, Eleva, WI 54738-8962 2019-02-28
1699989657 Cynthia Yvonne Hiles Licensed Practical Nurse S9595 Lowes Creek Rd, Eleva, WI 54738-9040 2007-05-09
1215572789 Legacy Companies LLC Case Management 50288 Chimney Rock Rd, Eleva, WI 54738-9305 2019-11-08
1194126730 Terryl Bauer Dental Hygienist W47 County Road Z, Eleva, WI 54738-9577 2014-09-15

Providers in the same city

NPI Name Taxonomy Address Enumeration
1215572789 Legacy Companies LLC Case Management 50288 Chimney Rock Rd, Eleva, WI 54738-9305 2019-11-08
1174080998 Jerry Kreibich Contractor W25551 Us Highway 10, Eleva, WI 54738-8962 2019-02-28
1134651441 Zachary Mestelle Physical Therapist E4050 Interlachen Blvd, Eleva, WI 54738-4139 2017-03-28
1851796353 Melissa Ostertag Dental Hygienist S459 Norden Rd, Eleva, WI 54738-7805 2014-10-27
1194126730 Terryl Bauer Dental Hygienist W47 County Road Z, Eleva, WI 54738-9577 2014-09-15
1346673688 Nick Samuel Preston Chiropractor 50667 North Main Street, Eleva, WI 54738-0305 2013-08-09
1093944480 Roseann E Carr Massage Therapist S11110 State Road 93, Eleva, WI 54738-4131 2009-07-07
1699989657 Cynthia Yvonne Hiles Licensed Practical Nurse S9595 Lowes Creek Rd, Eleva, WI 54738-9040 2007-05-09

Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386245561 Comfort Care 4 U, LLC Home Health 7701 Mineral Point Rd Ste A, Madison, WI 53717-2027 2020-11-04
1639779754 Wisconsin Independent Living Solutions LLC Home Health 817 Colton St, Waukesha, WI 53186-5126 2020-10-28
1821698341 Jaqualynne Postuchow Home Health 8739 Smith St, Sayner, WI 54560-9696 2020-10-26
1467068767 Lashonda Nicole Simmons Home Health 24th Street, 1812 North, Milwaukee, WI 53205-1410 2020-09-22
1124634332 Nehemiah House, LLC Home Health 3901 N 21st Street, Milwaukee, WI 53206 2020-09-22
1699389593 Infinity Care Services LLC Home Health 9203 W Bluemound Rd Ste A, Milwaukee, WI 53226-4484 2020-09-08
1982218426 Homecare Pal, LLC Home Health 2916 Marketplace Dr Ste 209, Fitchburg, WI 53719-5327 2020-09-02
1366053118 Adron Health Care, LLC Home Health 9117 S 20th St, Oak Creek, WI 53154-7465 2020-08-14
1790396521 Faithful Living Home Health Care Agency LLC Home Health 3846 W Wisconsin Ave Apt 110, Milwaukee, WI 53208-3175 2020-08-14
1770194847 Faithful Hands PCa LLC Home Health 8008 W Capitol Dr, Milwaukee, WI 53222-1918 2020-08-12
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Competitor

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City ELEVA
Zip Code 54738

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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