JENNIFER PROVENZANO
NPI 1558010454
In Home Supportive Care in Henderson, NV

Q: What is Jennifer Provenzano's NPI number?

The NPI number for Jennifer Provenzano is 1558010454. It was assigned to this individual provider in the NPPES registry on March 20, 2022.

Q: What is Jennifer Provenzano's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since March 20, 2022

2400 BONITA LN, HENDERSON, NV 89014(347) 515-9237 Get Directions Write a Review

NPPES record last updated: March 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer Provenzano NPPES

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

JENNIFER PROVENZANO (NPI 1558010454) is an individual in home supportive care provider in Henderson, Nevada and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1558010454

Entity TypeIndividualFemale

Primary Taxonomy253Z00000X

Provider Legal NameJENNIFER PROVENZANO

Location Address2400 BONITA LNHenderson, NV 89014-3602

Mailing Address2400 Bonita LnHenderson, NV 89014-3602 · (347) 515-9237

Phone(347) 515-9237

Sole ProprietorYes

Enumeration DateMarch 20, 2022

NPPES CertifiedMarch 20, 2022

✔ NPI 1558010454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

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.

2400 BONITA LN, Henderson, NV 89014

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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 Jennifer Provenzano's NPI number?

The NPI number for Jennifer Provenzano is 1558010454. It was assigned to this individual provider in the NPPES registry on March 20, 2022.

Where is Jennifer Provenzano located?

Jennifer Provenzano practices at 2400 Bonita Ln, Henderson, NV 89014. The listed phone number is (347) 515-9237.

What is Jennifer Provenzano'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 Jennifer Provenzano was last updated on March 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.