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PROVIDENTIAL HEALTH CARE, INC
NPI 1235455239
Home Health in Jacksonville, FL

Active since April 15, 2010
13400 SUTTON PARK DR S, SUITE 1101, JACKSONVILLE, FL 32224(904) 992-2273(904) 992-2270 Get Directions Write a Review

NPPES record last updated: August 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providential Health Care, Inc NPPES

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

PROVIDENTIAL HEALTH CARE, INC (NPI 1235455239) is a healthcare organization registered as a home health in Jacksonville, Florida and active in the NPI registry since April 2010. The organization lists Lydia Florence Mwesigwa, Administrator, as its authorized official.

NPPES Registry Identity

NPI1235455239
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePROVIDENTIAL HEALTH CARE, INC
Location Address13400 SUTTON PARK DR S, SUITE 1101Jacksonville, FL 32224-0236
Mailing Address13400 Sutton Park Dr S, Suite 1101Jacksonville, FL 32224-0236 · (904) 992-2273 · Fax (904) 992-2270
Phone(904) 992-2273
Fax(904) 992-2270
Organization SubpartNo
Authorized OfficialLydia Florence MwesigwaAdministrator · (214) 240-6146
Enumeration DateApril 15, 2010
Last NPPES UpdateAugust 10, 2010
✔ NPI 1235455239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
13400 SUTTON PARK DR S, Jacksonville, FL 32224
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THERESA MARIA DINUZZO PH.D.
Psychologist
13400 SUTTON PARK DR S, SUITE 1504
JACKSONVILLE, FL 32224
Duval County (904) 386-3844
DR. SUSAN NILETTE YOUNG PSY. D.
Clinical Neuropsychologist
13400 SUTTON PARK DR S, SUITE 1504
JACKSONVILLE, FL 32224
Duval County (904) 223-6414
DR. RANDI MOST PH.D.
Clinical Neuropsychologist
13400 SUTTON PARK DR S, SUITE 1504
JACKSONVILLE, FL 32224
Duval County (904) 223-5007
MR. IAN SETH OTTO
Speech-Language Pathologist
13400 SUTTON PARK DR S, SUITE 1101
JACKSONVILLE, FL 32224
Duval County (904) 254-8713
MRS. LIZA CRISTIN PROVENZANO LMHC
Counselor (Mental Health)
13400 SUTTON PARK DR S, SUITE 1504
JACKSONVILLE, FL 32224
Duval County (904) 568-5826
HEALING HEARTS THERAPY LLC
Counselor (Mental Health)
13400 SUTTON PARK DR S, SUITE 1001-4/5
JACKSONVILLE, FL 32224
Duval County (904) 318-6109
VICTORIA MANUEL LCSW
Social Worker (Clinical)
13400 SUTTON PARK DR S, SUITE 1103
JACKSONVILLE, FL 32224
Duval County (904) 421-2119
DR. RAYNA VAUGHT GODFREY PH.D.
Psychologist
13400 SUTTON PARK DR S, SUITE 1504
JACKSONVILLE, FL 32224
Duval County (303) 905-2826

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 Health Care, Inc's NPI number?

The NPI number for Providential Health Care, Inc is 1235455239. It was assigned to this organization in the NPPES registry on April 15, 2010.

Where is Providential Health Care, Inc located?

Providential Health Care, Inc is located at 13400 Sutton Park Dr S Suite 1101, Jacksonville, FL 32224. The listed phone number is (904) 992-2273.

What is Providential Health Care, Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Providential Health Care, Inc was last updated on August 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.