PROVIZIONS CARE LLC
NPI 1316718067
Community/Behavioral Health in Concord, NC
- Organization
- Community/Behavioral Health
About PROVIZIONS CARE LLC
This page provides the complete NPI Profile along with additional information for Provizions Care Llc, a provider established in Concord, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1316718067 assigned on January 2024. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Latasha U Pross (Ceo)
- NPI
- 1316718067 Verify this NPI
- Provider Name
- PROVIZIONS CARE LLC
- Entity Type
- Organization
- Location Address
- 597 LOVE ST CONCORD, NC 28027
- Location Phone
- (704) 963-7552
- Location Fax
- (774) 307-2797
- Mailing Address
- 5835 EXECUTIVE CENTER DR STE 101F CHARLOTTE, NC 28212
- Mailing Phone
- (704) 963-7552
- Mailing Fax
- (774) 307-2797
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-11-2024
- Last Update Date
- 10-15-2024
- Code Navigator
Location Map
Secondary Locations
- 7047 Waterwheel St SW
Concord, NC 28025
(704) 963-7552 - 424 Lakewood Ave
Charlotte, NC 28208
(704) 963-7552
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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 253Z00000X | Agencies | In Home Supportive Care | |
| 2 | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
| 3 | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316718067, enumerated as an "organization" on January 11, 2024.
The provider is located at 597 LOVE ST CONCORD, NC 28027 and the phone number is (704) 963-7552.
Community/Behavioral Health with taxonomy code 251S00000X.
