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).
| 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 |
| 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 |
| Street Address |
E2535 CEDAR RD |
| City | ELEVA |
| State | WI |
| Zip Code | 54738-9083 |
| 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 |
| 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 Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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] |
| 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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| 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.