PROVIZIONS CARE LLC
NPI 1316718067
Community/Behavioral Health in Concord, NC

Active since January 11, 2024
597 LOVE ST, CONCORD, NC 28027(704) 963-7552(774) 307-2797 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Provizions Care Llc NPPES

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

PROVIZIONS CARE LLC (NPI 1316718067) is a healthcare organization registered as a community/behavioral health in Concord, North Carolina and active in the NPI registry since January 2024. The organization maintains 2 additional practice locations and lists Latasha U Pross, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316718067
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePROVIZIONS CARE LLC
Location Address597 LOVE STConcord, NC 28027
Mailing Address5835 Executive Center Dr Ste 101fCharlotte, NC 28212-8901 · (704) 963-7552 · Fax (774) 307-2797
Fax(774) 307-2797
Organization SubpartNo
Authorized OfficialLatasha U ProssCeo · (704) 963-7552
Enumeration DateJanuary 11, 2024
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 10, 2024
NPI 1316718067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
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.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
597 LOVE ST, Concord, NC 28027

Secondary Practice Locations 2

Location 17047 Waterwheel St SWConcord, NC 28025-6746 · Phone (704) 963-7552
Location 2424 Lakewood AveCharlotte, NC 28208 · Phone (704) 963-7552

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 Provizions Care LLC's NPI number?

The NPI number for Provizions Care LLC is 1316718067. It was assigned to this organization in the NPPES registry on January 11, 2024.

Where is Provizions Care LLC located?

Provizions Care LLC is located at 597 Love St, Concord, NC 28027. The listed phone number is (704) 963-7552.

What is Provizions Care LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Provizions Care LLC was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.