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PROCTORS PROVISION LLC.
NPI 1821698374
Home Health in Columbia, MO

Active since October 26, 2020
1809 VANDIVER DR STE 105, COLUMBIA, MO 65202(573) 814-8528 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Proctors Provision Llc. NPPES

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

PROCTORS PROVISION LLC. (NPI 1821698374) is a healthcare organization registered as a home health in Columbia, Missouri and active in the NPI registry since October 2020. The organization lists Mariah Ta'shea Proctor, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1821698374
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePROCTORS PROVISION LLC.
Location Address1809 VANDIVER DR STE 105Columbia, MO 65202-3948
Mailing Address1809 Vandiver Dr Ste 105Columbia, MO 65202-3948 · (573) 814-8528
Phone(573) 814-8528
Organization SubpartNo
Authorized OfficialMariah Ta'shea ProctorOwner/ceo · (573) 814-8528
Enumeration DateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
✔ NPI 1821698374 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.
1809 VANDIVER DR STE 105, Columbia, MO 65202
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Other Providers at the Same Location NPPES 2

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

MARIAH PROCTOR
Home Health
1809 VANDIVER DR STE 105
COLUMBIA, MO 65202
Boone County (573) 814-8528
DIVINE DESTINY HOME CARE LLC
Home Health
1809 VANDIVER DR STE 105
COLUMBIA, MO 65202
Boone County (573) 797-6007

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 Proctors Provision LLC.'s NPI number?

The NPI number for Proctors Provision LLC. is 1821698374. It was assigned to this organization in the NPPES registry on October 26, 2020.

Where is Proctors Provision LLC. located?

Proctors Provision LLC. is located at 1809 Vandiver Dr Ste 105, Columbia, MO 65202. The listed phone number is (573) 814-8528.

What is Proctors Provision 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 Proctors Provision LLC. was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.