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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: August 16, 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
Phone(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
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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.

PROVISION CARE HOSPICE INC
Hospice Care, Community Based
876 N MOUNTAIN AVE STE 200O
UPLAND, CA 91786
San Bernardino County (949) 353-9083

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 Healthcare Services's NPI number?

The NPI number for Provision Healthcare Services is 1649925140. It was assigned to this organization in the NPPES registry on February 14, 2022.

Where is Provision Healthcare Services located?

Provision Healthcare Services is located at 876 N Mountain Ave Ste 200O, Upland, CA 91786. The listed phone number is (949) 353-9083.

What is Provision Healthcare Services'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 Healthcare Services was last updated on February 14, 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.