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PROVISION HOMECARE, LLC
NPI 1255449922
In Home Supportive Care in Ahoskie, NC

Active since August 25, 2006
124 MAIN ST E, AHOSKIE, NC 27910(252) 332-4409(252) 332-5099 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2025, Jan 19, 2023 (2 updates tracked since 2023).

About Provision Homecare, Llc NPPES

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

PROVISION HOMECARE, LLC (NPI 1255449922) is a healthcare organization registered as an in home supportive care in Ahoskie, North Carolina and active in the NPI registry since August 2006. The organization maintains a secondary practice location in Greenville and lists Phyllistine E Simmons, Director Ceo, as its authorized official.

NPPES Registry Identity

NPI1255449922
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NamePROVISION HOMECARE, LLC
Location Address124 MAIN ST EAhoskie, NC 27910-3416
Mailing Address124 Main St EAhoskie, NC 27910-3416 · (252) 332-4409 · Fax (252) 332-5099
Phone(252) 332-4409
Fax(252) 332-5099
Organization SubpartNo
Authorized OfficialPhyllistine E SimmonsDirector Ceo · (252) 287-3562
Enumeration DateAugust 25, 2006
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1255449922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
License✔ Licensed in NC · HC2981
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.
124 MAIN ST E, Ahoskie, NC 27910
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Secondary Practice Location 1

Location 11530 Evans St Ste 107Greenville, NC 27834-5302 · Phone (252) 287-3562 · Fax (252) 862-8511

Other Identifiers 3

Medicaid6601267NC
Other8301311NC · Community Support
Other3408323NC · Caps

Other Providers at the Same Location NPPES 2

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

DEEPLY ROOTED HOME CARE INCORPORATED
In Home Supportive Care
124 MAIN ST E
AHOSKIE, NC 27910
Hertford County (252) 332-4409
DEEPLY ROOTED INC
Community/Behavioral Health
124 MAIN ST E
AHOSKIE, NC 27910
Hertford County (252) 332-2025

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 Provision Homecare, LLC's NPI number?

The NPI number for Provision Homecare, LLC is 1255449922. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is Provision Homecare, LLC located?

Provision Homecare, LLC is located at 124 Main St E, Ahoskie, NC 27910. The listed phone number is (252) 332-4409.

What is Provision Homecare, 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 Provision Homecare, LLC was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.