PROVIDENT HOME HEALTH CARE INC. NPI 1558508648

NPI Information

NPI: 1558508648
Provider Name: PROVIDENT HOME HEALTH CARE, INC.
Classification: Registered Nurse - 163WH0200X
Entity Type: Organization

Specialization: Home Health

CLIA Number: 05D1092833

Address:
7950 SILVERTON AVE
SUITE 114
SAN DIEGO, CA
ZIP 92126
Phone: (858) 530-0442
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PROVIDENT HOME HEALTH CARE, INC. is a home health registered nurse in San Diego, CA. PROVIDENT HOME HEALTH CARE, INC. NPI is 1558508648. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7950 SILVERTON AVE
SUITE 114
SAN DIEGO, CA
ZIP 92126-342
Phone: (858) 530-0442
Fax: (858) 530-0545

The provider's authorized official is Luz M Latus .
The authorized official title is Administrator/ Dpcs and has the following contact phone number (858) 530-0442.

The CLIA number assigned to this NPI record is 05D1092833 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2009 and was last updated on 10/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WH0200X	Registered Nurse	Home Health	175530	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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