PROVIDENTIAL HOME CARE OF NWA LLC
NPI 1104416247
In Home Supportive Care in Lowell, AR

Q: What is Providential Home Care Of Nwa LLC's NPI number?

The NPI number for Providential Home Care Of Nwa LLC is 1104416247. It was assigned to this organization in the NPPES registry on January 22, 2021. The provider is doing business as Providential Home Care.

Q: What is Providential Home Care Of Nwa LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since January 22, 2021

113 PARKWOOD ST STE B, LOWELL, AR 72745(479) 668-4338(888) 247-6285 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Providential Home Care Of Nwa Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENTIAL HOME CARE OF NWA LLC (NPI 1104416247), doing business as Providential Home Care, is a healthcare organization registered as an in home supportive care in Lowell, Arkansas and active in the NPI registry since January 2021. The organization lists Mark Kersey, Owner, as its authorized official.

NPPES Registry Identity

NPI1104416247

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NamePROVIDENTIAL HOME CARE OF NWA LLC

Location Address113 PARKWOOD ST STE BLowell, AR 72745-8811

Mailing Address113 Parkwood St Ste BLowell, AR 72745-8811 · (479) 668-4338 · Fax (888) 247-6285

Phone(479) 668-4338

Fax(888) 247-6285

Organization SubpartNo

Authorized OfficialMark KerseyOwner · (479) 668-4338

Enumeration DateJanuary 22, 2021

NPPES CertifiedJanuary 22, 2021

✔ NPI 1104416247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

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.

113 PARKWOOD ST STE B, Lowell, AR 72745

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Other Names 1

Doing Business AsProvidential Home Care

Other Identifiers 1

Medicaid234403732AR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providential Home Care Of Nwa LLC's NPI number?

The NPI number for Providential Home Care Of Nwa LLC is 1104416247. It was assigned to this organization in the NPPES registry on January 22, 2021. The provider is doing business as Providential Home Care.

Where is Providential Home Care Of Nwa LLC located?

Providential Home Care Of Nwa LLC is located at 113 Parkwood St Ste B, Lowell, AR 72745. The listed phone number is (479) 668-4338.

What is Providential Home Care Of Nwa LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Providential Home Care Of Nwa LLC was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.