PROVISION HOME HEALTH (NPI# 1770855231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770855231 |
| Entity Type | Organization |
| Organization Name | PROVISION HOME HEALTH |
| Practice Address |
3823 E Loop 820 S Fort Worth TX 76119-4337 |
| Practice Telephone | 8174497193 |
| Mailing Telephone | 8174497193 |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |
| Authorized Official Name | MS. TANISHA PERELLE MANUEL (ALTERNATE ADMINISTRATOR) |
| Authorized Official Telephone | 8174497193 |
| Authorized Official Credential | LVN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 173042 | TX | Agencies |
| Street Address |
3823 E LOOP 820 S |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76119-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003111 | Asha Jamilia Robertson | Technician | 5321 Rita Kay Ln Lot #21, Fort Worth, TX 76119 | 2019-09-24 |
| 1801366406 | Gina Stovall | Behavioral Analyst | 1100 Circle Drive Suite 101, Fort Worth, TX 76119 | 2018-11-27 |
| 1730660374 | Lisa Alfaro Williams | Counselor | 3120, 22, 24 S.e. Loop 820, Fort Worth, TX 76119 | 2018-08-22 |
| 1023597366 | Gregoire M Butera | Registered Nurse | 3883 Mighty Mite Dr., Fort Worth, TX 76119 | 2018-08-08 |
| 1598244816 | Tawnya R Anderson | Registered Nurse | 3883 Mighty Mite Drive, Fort Worth, TX 76119 | 2018-08-08 |
| 1730699802 | Miller Dental Pllc | Dentist | 3307 Miller Ave Suite #a, Fort Worth, TX 76119 | 2017-10-03 |
| 1053853697 | Carla Walter | Community Health Worker | 4125 Hardeman Ave, Fort Worth, TX 76119 | 2016-11-14 |
| 1710238134 | Thuy Vy Phan | Physician Assistant | 2500 Circle Dr, Fort Worth, TX 76119 | 2012-09-25 |
| 1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
| 1053600262 | Miller Dental | Dentist | 3307 Miller Ave Suite A, Fort Worth, TX 76119 | 2011-03-29 |
| Find all providers in zip 76119 | ||||
| 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 |
|---|---|---|---|---|
| 1174124283 | Natasha Monique Miller | Home Health | 2503 Via Venicia Apt 3223, Fort Worth, TX 76109-6535 | 2020-11-04 |
| 1982204327 | Kevin D Miller | Home Health | 4429 Sahara Pl, Fort Worth, TX 76115-3653 | 2020-10-26 |
| 1134740426 | Angels Over Texas | Home Health | 7749 Parkwood Plaza Dr, Fort Worth, TX 76137-4383 | 2020-04-28 |
| 1255967303 | Rejoice Wonderful Inc | Home Health | 3752 Waldorf St, Fort Worth, TX 76119-2300 | 2020-03-20 |
| 1033764899 | Helping Hands Restore LLC | Home Health | 3228 Kathy Ln, Fort Worth, TX 76123-2047 | 2019-08-07 |
| 1811458979 | S H Solutions | Home Health | 404 S Oakland Blvd, Fort Worth, TX 76103-3750 | 2019-03-29 |
| 1114487568 | Texans Home Health Care Services LLC | Home Health | 9500 Ray White Rd Ste 210, Fort Worth, TX 76244-6000 | 2019-03-21 |
| 1578055000 | A Unique Heart & Hands | Home Health | 953 E 2nd St, Fort Worth, TX 76102-3234 | 2018-05-31 |
| 1417446873 | Superb Health Care Inc | Home Health | 4121 River Birch Rd, Fort Worth, TX 76137-1187 | 2018-05-01 |
| 1508374216 | Alice Brinkley | Home Health | 7231 Park West Cir Apt 205, Fort Worth, TX 76134-3551 | 2018-01-16 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76119 |
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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.