PROVIDENT HOME CARE, INC (NPI# 1790109437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790109437 |
| Entity Type | Organization |
| Organization Name | PROVIDENT HOME CARE, INC |
| Other Organization Name | PROVIDENT HOME CARE |
| Practice Address |
70 Floral Ave New Providence NJ 07974-1511 |
| Practice Telephone | 9082642641 |
| Mailing Telephone | 9082642641 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Authorized Official Name | CARLOS PEREZ-SANTALLA (PRESIDENT) |
| Authorized Official Telephone | 9082642641 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | HP0184300 | NJ | Agencies |
| Other Name | Type Code |
|---|---|
| Provident Home Care | Doing Business As Name - Organization |
| Street Address |
70 FLORAL AVE |
| City | NEW PROVIDENCE |
| State | NJ |
| Zip Code | 07974-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775996 | A & J Majestic Care, LLC | In Home Supportive Care | 36 High Street, New Providence, NJ 07974 | 2018-09-25 |
| 1790222131 | Lantern Hill, Inc. | Skilled Nursing Facility | 537 Mountain Avenue, Attn: Extended Care Adminstrator, New Providence, NJ 07974 | 2017-01-24 |
| 1770960585 | Brett Pearsall | Chiropractor | 571 Central Ave Ste 103, New Providence, NJ 07974 | 2015-04-30 |
| 1548591340 | Sushmita Srivastav | Internal Medicine | 535 Mountain Ave, New Providence, NJ 07974 | 2010-01-19 |
| 1548406465 | Benjamin Mark Schneider | Radiology | 1811 Springfield Avenue, Summit Radiological Associates, New Providence, NJ 07974 | 2008-12-23 |
| 1033314042 | Jeffrey T Leary | Orthopaedic Surgery | 550 Central Ave Ste 500, New Providence, NJ 07974 | 2007-06-19 |
| 1336369925 | James Michael Rubino | Dentist | 598 Central Avenue, New Providence, NJ 07974 | 2007-04-26 |
| 1194942839 | Patricia A Baroff | Social Worker | 114 Glenside Road, Murray Hill, NJ 07974 | 2007-04-20 |
| 1497873244 | Gastrocare, LLC | Internal Medicine | 571 Central Avenue, Suite 112, New Providence, NJ 07974 | 2007-03-27 |
| 1629196134 | Carlos Moglianesi, D.m.d. PC | Dentist | 1806 Springfield Ave., New Providence, NJ 07974 | 2007-03-26 |
| Find all providers in zip 07974 | ||||
| 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 |
|---|---|---|---|---|
| 1326373523 | New Providence Home Health Care Services | Home Health | 56 Scheller Rd, New Providence, PA 17560-9713 | 2009-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538236 | Heritage Health & Home Care LLC | Home Health | 419 Northfield Ave Ste 1, West Orange, NJ 07052-3091 | 2020-11-05 |
| 1720689177 | Vineyard Home Care LLC | Home Health | 793 Norgate Dr, Ridgewood, NJ 07450-2115 | 2020-11-03 |
| 1225637549 | Emmanuelfavor LLC | Home Health | 8 Gregory Ct, Edison, NJ 08820-2435 | 2020-10-19 |
| 1184222713 | Promise Health Care Nursing Service Nj Inc | Home Health | 12 Northfield Ct, Hazlet, NJ 07730-1259 | 2020-10-15 |
| 1427655257 | The Speech Paradigm LLC | Home Health | 4104 Ravens Crest Dr, Plainsboro, NJ 08536-2421 | 2020-10-05 |
| 1548867690 | Eloisa Oquendo | Home Health | 1118 Berkley Rd, Gibbstown, NJ 08027-1608 | 2020-10-01 |
| 1396352423 | Professional Healthcare Staffing | Home Health | 591 Mantua Blvd Ste 201, Sewell, NJ 08080-1032 | 2020-09-23 |
| 1528673720 | Zooz Wellness L.L.C. | Home Health | 12 Briarcliff Ct, Maplewood, NJ 07040-1401 | 2020-09-14 |
| 1437764636 | Jaymar Homecare Dba Synergy Homecare | Home Health | 33 Third St Ste 201, Bordentown, NJ 08505-1369 | 2020-09-14 |
| 1164037859 | Jj Homecare LLC | Home Health | 4 Rhoda Ter, Roselle Park, NJ 07204-2165 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | NEW PROVIDENCE |
| Zip Code | 07974 |
Please comment or provide details below to improve the information on PROVIDENT HOME CARE, INC.
| 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.