PROVISION HEALTHCARE SERVICES
NPI 1649925140
Home Health in Upland, CA

Active since February 14, 2022
876 N MOUNTAIN AVE STE 200O, UPLAND, CA 91786(949) 353-9083 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Provision Healthcare Services NPPES

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

PROVISION HEALTHCARE SERVICES (NPI 1649925140) is a healthcare organization registered as a home health in Upland, California and active in the NPI registry since February 2022. The organization lists Sarah Lizette Cornejo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649925140
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePROVISION HEALTHCARE SERVICES
Location Address876 N MOUNTAIN AVE STE 200OUpland, CA 91786-4166
Mailing Address876 N Mountain Ave Ste 200oUpland, CA 91786-4166 · (949) 353-9083
Organization SubpartNo
Authorized OfficialSarah Lizette CornejoCeo · (903) 705-2166
Enumeration DateFebruary 14, 2022
NPPES CertifiedFebruary 14, 2022
NPI 1649925140 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.

876 N MOUNTAIN AVE STE 200O, Upland, CA 91786

Other Identifiers 1

OtherC4832357Articles Of Incorporation

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospice Care, Community Based
876 N MOUNTAIN AVE STE 200O
UPLAND, CA 91786

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649925140, enumerated as an "organization" on February 14, 2022.

The provider is located at 876 N MOUNTAIN AVE STE 200O UPLAND, CA 91786 and the phone number is (949) 353-9083.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.