PROVISION HOME NPI 1730950072

NPI Information

  • NPI: 1730950072
  • Provider Name: PROVISION HOME
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Organization
  • Address: 778 BROADWAY ST
    WEST LIBERTY, KY
    ZIP 41472
  • Phone: (606) 923-0361

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NPI Details

PROVISION HOME is a peer specialist in West Liberty, KY. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. PROVISION HOME NPI is 1730950072. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

778 BROADWAY ST
WEST LIBERTY, KY
ZIP 41472-110
Phone: (606) 923-0361

The provider's authorized official is David Brian Bartley .
The authorized official title is Director and has the following contact phone number (606) 923-0361.

The enumeration date for this NPI number is 1/15/2024 and was last updated on 1/15/2024.

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
1175T00000XPeer SpecialistYes

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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