PROVIDENTIAL SOLUTIONS, LLC (NPI# 1467962043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467962043 |
| Entity Type | Organization |
| Organization Name | PROVIDENTIAL SOLUTIONS, LLC |
| Other Organization Name | PROVIDENTIAL HEALTH CARE |
| Practice Address |
1 Rider Mill Ct Owings Mills MD 21117-2472 |
| Practice Telephone | 4109989978 |
| Practice Fax Number | 4433810483 |
| Mailing Telephone | 4109989978 |
| Mailing Fax Number | 4433810483 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Authorized Official Name | MR. DUKE ATANO OSIMA (ADMINISTRATOR) |
| Authorized Official Telephone | 4109989978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | R2235 | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 5709600300 | 05 |
| Other Name | Type Code |
|---|---|
| PROVIDENTIAL HEALTH CARE | Doing Business As Name - Organization |
| Street Address |
1 RIDER MILL CT |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117-2472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| Find all providers in zip 21117 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804937 | Friends2family Home Care Support LLC | In Home Supportive Care | 10005 Mill Centre Dr Apt 272, Owings Mills, MD 21117-3015 | 2020-09-04 |
| 1871132662 | United Homecare Support Inc | In Home Supportive Care | 45 Tahoe Cir Apt B, Owings Mills, MD 21117-3751 | 2019-12-27 |
| 1457993875 | Trust Supports Services Inc | In Home Supportive Care | 4117 Brookside Oaks, Owings Mills, MD 21117-5166 | 2019-10-17 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1215477153 | At Your Service Home Care Inc | In Home Supportive Care | 4776 Clairelee Dr, Owings Mills, MD 21117-4764 | 2017-02-25 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| 1841602570 | Integra Serviceconnect LLC | In Home Supportive Care | 10065 Red Run Blvd., Suite 230, Owings Mills, MD 21117 | 2014-05-29 |
| 1760749618 | Second Family LLC | In Home Supportive Care | 319 Brushwood Dr, Owings Mills, MD 21117-1382 | 2012-04-17 |
| 1245891589 | Amanah Home Care | In Home Supportive Care | 10451 Mill Run Cir Ste 400, Owings Mills, MD 21117-5594 | 2019-06-26 |
| 1396115663 | Personal Home Care, LLC | In Home Supportive Care | 10 Crossroads Dr, Suite 110, Owings Mills, MD 21117-5458 | 2015-09-30 |
| Find all providers in OWINGS MILLS | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
Please comment or provide details below to improve the information on PROVIDENTIAL SOLUTIONS, LLC.
| 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.