Provision Home Care Inc

LBN: Provision Home Care Inc
Provision Home Care Inc is an health care organization with primary practice located at 9378 Olive Blvd Suite #215, Olivette MO 63132-3215. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Infusion, Agencies / Nursing Care, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is the primary health care specialty. Provision Home Care Inc can be contacted via phone (314) 569-4121, or through Opoku, Emmanuel B via phone (314) 569-4121.

Contact Information

Primary practice address
9378 Olive Blvd Suite #215 Olivette MO 63132-3215
Fax:
Website:
Authorized official contact:
Name: Opoku, Emmanuel B PHARM.D.

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X SSBG/GR0008084 Missouri
Agencies / Nursing Care 251J00000X SSBG/GR0008084 Missouri
Agencies / In Home Supportive Care 253Z00000X SSBG/GR0008084 Missouri

Profile Details

NPI number 1700259264
LBN Legal business name Provision Home Care Inc
DBA Doing business as
Authorized official Opoku, Emmanuel B PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2015
Last updated Nov 5th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700259264 NPPES
Missouri MEDICAID SSBG/GR0008084

Popular Providers