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, Saint Louis MO 63132-3215. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Provision Home Care Inc. can be contacted via phone (314) 569-4121, or through Opoku, Emmanuel Boateng via phone (314) 569-4121.

Contact Information

Primary practice address
9378 Olive Blvd Suite 215 Saint Louis MO 63132-3215
Phone: (314) 569-4121
Fax: (314) 569-4118
Website:
Map and Directions
Authorized official contact:
Name: Opoku, Emmanuel Boateng PHARM.D.
Phone: (314) 569-4121

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X CC0635954 Missouri

Profile Details

NPI number 1992775746
LBN Legal business name Provision Home Care Inc.
DBA Doing business as
Authorized official Opoku, Emmanuel Boateng PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2006
Last updated Jun 16th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992775746 NPPES
Missouri MEDICAID 266200302

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