PROVISION HOME CARE AGENCY, LLC (NPI# 1629692710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629692710 |
| Entity Type | Organization |
| Organization Name | PROVISION HOME CARE AGENCY, LLC |
| Practice Address |
3516 Vest Mill Rd Ste A Winston Salem NC 27103-3070 |
| Practice Telephone | 3363009005 |
| Mailing Telephone | 3363009005 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MRS. BERTHA GRINTON MITCHELL (OWNER) |
| Authorized Official Telephone | 3363009005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
3516 VEST MILL RD STE A |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-3070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1376140723 | A Lending Hand Home Care Services LLC | Home Health | 1922 S Mlk Jr Dr Ste 203, Winston Salem, NC 27107-1361 | 2020-10-07 |
| 1104442177 | Reco Wilson | Home Health | 5270 Germanton Rd, Winston Salem, NC 27105-1616 | 2020-06-24 |
| 1386267888 | Nurses Station Home Care LLC | Home Health | 246 Everidge Rd, Winston Salem, NC 27103-6308 | 2020-05-19 |
| 1831719228 | Piedmont Premium Care,llc | Home Health | 500 W 4th St Ste 201f, Winston Salem, NC 27101-2782 | 2020-04-26 |
| 1891330130 | Goodworks Health Management, LLC | Home Health | 3425 S Main St, Winston Salem, NC 27127-5127 | 2019-11-11 |
| 1245873504 | Stay At Home Health Care | Home Health | 1122 E 17th St, Winston Salem, NC 27105-6178 | 2019-10-18 |
| 1225682016 | Olufemi Samuel Akinade | Home Health | 120 Cloverfield Ct, Winston Salem, NC 27127-9756 | 2019-07-30 |
| 1194378067 | Maria A Hickman | Home Health | 1660 Marble St, Winston Salem, NC 27107-1415 | 2019-07-19 |
| 1417422478 | Bumblebee Services | Home Health | 3060 Apollo Dr, Winston Salem, NC 27101-1951 | 2018-10-05 |
| 1205317443 | Abundant Home Care Agency | Home Health | 2459 Stratford Lake Rd, Winston Salem, NC 27103-6684 | 2018-08-26 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on PROVISION HOME CARE AGENCY, 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.