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PROVIDENCE CARE INC NPI 1174026736


NPI Information

NPI: 1174026736
Provider Name: PROVIDENCE CARE INC

Doing Business As: PROVIDENCE CARE INC

Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
808 BRISTOL DR
SMYRNA, TN
ZIP 37167
Phone: (734) 394-7679
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PROVIDENCE CARE INC is a nursing care in Smyrna, TN. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. PROVIDENCE CARE INC NPI is 1174026736. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Care Inc.

The provider's business location address is:

808 BRISTOL DR
SMYRNA, TN
ZIP 37167-329
Phone: (734) 394-7679

The provider's authorized official is Simplicius E Okoro .
The authorized official title is Executive Director and has the following contact phone number (734) 394-7679.

The enumeration date for this NPI number is 3/9/2018 and was last updated on 3/9/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WH0200XRegistered NurseHome Health220042TENNESSEENo
2163WP0808XRegistered NursePsychiatric/Mental Health220042TENNESSEENo
3251J00000XNursing Care220042TENNESSEEYes

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: 11/14/2023

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