PROVISION HOME CARE INC.
NPI 1124150511
Home Health in Saint Louis, MO

Active since March 12, 2007
9378 OLIVE BLVD, SUITE 215, SAINT LOUIS, MO 63132(314) 569-4121(314) 569-4118 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Home Health

About PROVISION HOME CARE INC.

This page provides the complete NPI Profile along with additional information for Provision Home Care Inc., a provider established in Saint Louis, Missouri operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1124150511 assigned on March 2007. The practitioner's primary taxonomy code is 251E00000X with license number CC0635954 (MO). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Kenneth Millard Roberts (Biller)

NPI
1124150511 Verify this NPI
Provider Name
PROVISION HOME CARE INC.
Entity Type
Organization
Location Address
9378 OLIVE BLVD SUITE 215 SAINT LOUIS, MO 63132
Location Phone
(314) 569-4121
Location Fax
(314) 569-4118
Mailing Address
9378 OLIVE BLVD SUITE 215 SAINT LOUIS, MO 63132
Mailing Phone
(314) 569-4121
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
CC0635954
License State
MO
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KENNETH MILLARD ROBERTS

Authorized Official Title
BILLER
Authorized Official Phone
(314) 569-4121

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Professional)
9378 OLIVE BLVD, STE. 317
SAINT LOUIS, MO 63132
Counselor (Professional)
9378 OLIVE BLVD, STE. 317
SAINT LOUIS, MO 63132
Counselor (Professional)
9378 OLIVE BLVD, SUITE 314
SAINT LOUIS, MO 63132
Counselor (Professional)
9378 OLIVE BLVD, SUITE 317
OLIVETTE, MO 63132
Social Worker (Clinical)
9378 OLIVE BLVD
SAINT LOUIS, MO 63132
Counselor (Mental Health)
9378 OLIVE BLVD, SUITE 106
OLIVETTE, MO 63132
Counselor (Professional)
9378 OLIVE BLVD, SUITE 106
SAINT LOUIS, MO 63132
Counselor (Professional)
9378 OLIVE BLVD, SUITE 317
SAINT LOUIS, MO 63132
Social Worker (Clinical)
9378 OLIVE BLVD, STE 317
SAINT LOUIS, MO 63132
Counselor
9378 OLIVE BLVD
OLIVETTE, MO 63132
Counselor (Professional)
9378 OLIVE BLVD, STE. 317
SAINT LOUIS, MO 63132
Counselor (Professional)
9378 OLIVE BLVD
OLIVETTE, MO 63132
Counselor
9378 OLIVE BLVD, SUITE 106
SAINT LOUIS, MO 63132
Counselor
9378 OLIVE BLVD
SAINT LOUIS, MO 63132
Counselor
9378 OLIVE BLVD, SUITE 317
SAINT LOUIS, MO 63132
Counselor (Professional)
9378 OLIVE BLVD
OLIVETTE, MO 63132
Counselor (Mental Health)
9378 OLIVE BLVD, SUITE 312
SAINT LOUIS, MO 63132
Dentist (General Practice)
9378 OLIVE BLVD, SUITE 1LL
OLIVETTE, MO 63132
Counselor (Professional)
9378 OLIVE BLVD
SAINT LOUIS, MO 63132
Counselor (Professional)
9378 OLIVE BLVD
SAINT LOUIS, MO 63132

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124150511, enumerated as an "organization" on March 12, 2007.

The provider is located at 9378 OLIVE BLVD SUITE 215 SAINT LOUIS, MO 63132 and the phone number is (314) 569-4121.

Home Health with taxonomy code 251E00000X.