PROVIDENT CARE LLC
NPI 1366949745
Home Health in Columbus, OH

Active since April 11, 2018
1415 E DUBLIN GRANVILLE RD STE 201, COLUMBUS, OH 43229(614) 893-1535 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Home Health

About PROVIDENT CARE LLC

This page provides the complete NPI Profile along with additional information for Provident Care Llc, a provider established in Columbus, Ohio operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1366949745 assigned on April 2018. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Kiven Konglim (C.e.o)

NPI
1366949745 Verify this NPI
Provider Name
PROVIDENT CARE LLC
Entity Type
Organization
Location Address
1415 E DUBLIN GRANVILLE RD STE 201 COLUMBUS, OH 43229
Location Phone
(614) 893-1535
Mailing Address
1415 E DUBLIN GRANVILLE RD STE 201 COLUMBUS, OH 43229
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2018
Last Update Date
04-11-2018
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Location Map

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
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.

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)
13747A0650XNursing Service Related Providers

Technician
Attendant Care Provider

 
23747P1801XNursing Service Related Providers

Technician
Personal Care Attendant

 
3374U00000XNursing Service Related Providers

Home Health Aide

 
4376J00000XNursing Service Related Providers

Homemaker

 

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

KIVEN KONGLIM

Authorized Official Title
C.E.O
Authorized Official Phone
(614) 893-1535

Reviews for PROVIDENT CARE LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Home Health
1415 E DUBLIN GRANVILLE RD STE 201
COLUMBUS, OH 43229
Registered Nurse (Home Health)
1415 E DUBLIN GRANVILLE RD STE 201
COLUMBUS, OH 43229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366949745, enumerated as an "organization" on April 11, 2018.

The provider is located at 1415 E DUBLIN GRANVILLE RD STE 201 COLUMBUS, OH 43229 and the phone number is (614) 893-1535.

Home Health with taxonomy code 251E00000X.