PROVISION HOME CARE INC NPI 1700259264

NPI Information

  • NPI: 1700259264
  • Provider Name: PROVISION HOME CARE INC
  • Classification: In Home Supportive Care - 253Z00000X
  • Entity Type: Organization
  • Address: 9378 OLIVE BLVD
    SUITE #215
    OLIVETTE, MO
    ZIP 63132
  • Phone: (314) 569-4121

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NPI Details

PROVISION HOME CARE INC is an in home supportive care in Olivette, MO. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. PROVISION HOME CARE INC NPI is 1700259264. The provider is registered as an organization entity type.

The provider's business location address is:

9378 OLIVE BLVD
SUITE #215
OLIVETTE, MO
ZIP 63132-215
Phone: (314) 569-4121

The provider's authorized official is Emmanuel B Opoku .
The authorized official title is President/manager and has the following contact phone number (314) 569-4121.

The enumeration date for this NPI number is 11/5/2015 and was last updated on 11/5/2015.

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
1251F00000XHome InfusionSSBG/GR0008084MISSOURINo
2251J00000XNursing CareSSBG/GR0008084MISSOURINo
3253Z00000XIn Home Supportive CareSSBG/GR0008084MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SSBG/GR0008084MEDICAIDMISSOURI

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: 11/21/2025

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