PROVISION HOME CARE AGENCY, LLC
NPI 1629692710
Home Health in Winston Salem, NC

Q: What is Provision Home Care Agency, LLC's NPI number?

The NPI number for Provision Home Care Agency, LLC is 1629692710. It was assigned to this organization in the NPPES registry on June 3, 2020.

Q: What is Provision Home Care Agency, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since June 03, 2020

3516 VEST MILL RD STE A, WINSTON SALEM, NC 27103(336) 300-9005 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Provision Home Care Agency, Llc NPPES

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

PROVISION HOME CARE AGENCY, LLC (NPI 1629692710) is a healthcare organization registered as a home health in Winston Salem, North Carolina and active in the NPI registry since June 2020. The organization lists Bertha Grinton Mitchell, Owner, as its authorized official.

NPPES Registry Identity

NPI1629692710

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NamePROVISION HOME CARE AGENCY, LLC

Location Address3516 VEST MILL RD STE AWinston Salem, NC 27103-3070

Mailing Address3516 Vest Mill Rd Ste AWinston Salem, NC 27103-3070 · (336) 300-9005

Phone(336) 300-9005

Organization SubpartNo

Authorized OfficialBertha Grinton MitchellOwner · (336) 300-9005

Enumeration DateJune 3, 2020

NPPES CertifiedJune 3, 2020

✔ NPI 1629692710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

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.

3516 VEST MILL RD STE A, Winston Salem, NC 27103

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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 Provision Home Care Agency, LLC's NPI number?

The NPI number for Provision Home Care Agency, LLC is 1629692710. It was assigned to this organization in the NPPES registry on June 3, 2020.

Where is Provision Home Care Agency, LLC located?

Provision Home Care Agency, LLC is located at 3516 Vest Mill Rd Ste A, Winston Salem, NC 27103. The listed phone number is (336) 300-9005.

What is Provision Home Care Agency, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Provision Home Care Agency, LLC was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.