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Provident Home Health, Inc.
Home Health Agency in Los Angeles, California
NPI 1801954466

Provident Home Health, Inc. is a Home Health Agency based in Los Angeles, CA. Provident Home Health, Inc. practices in Los Angeles, CA. The NPI Number for Provident Home Health, Inc. is 1801954466 and holds a License No. 980001477 (California).

The current practice location address for Provident Home Health, Inc. is 5015 Eagle Rock Blvd Ste 309A, Los Angeles, CA and can be reached out via phone at 818-241-9500 and via fax at 818-241-9509.

Location: 5015 Eagle Rock Blvd Ste 309A, Los Angeles, CA, 90041-2085
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801954466
Provider Name
Provident Home Health, Inc.
Credential
Provider Entity Type
Organization
Address
5015 Eagle Rock Blvd Ste 309A, Los Angeles, CA, 90041-2085
Phone Number
818-241-9500
Fax Number
818-241-9509
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HHA08286F 05 CA
institution
Provider Business Practice Location Address Details
Address
5015 Eagle Rock Blvd Ste 309A
City
Los Angeles
State
California
Zip
90041-2085
Phone Number
818-241-9500
Fax Number
818-241-9509
person
Provider Business Mailing Address Details
Address
5015 Eagle Rock Blvd Ste 309A
City
Los Angeles
State
California
Zip
90041-2085
Phone Number
818-241-9500
Fax Number
818-241-9509
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
980001477 (California)
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.
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