# PROVISIONAM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** ProvisioAm, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235697426
- **Authorized official:** CARLINE PIERRE-LOUIS CENATUS (OWNER)
- **Authorized official phone:** (239) 404-9870

## Contact information

- **Practice address:** 3819 PHELAN BLVD, BEAUMONT, TX 77707-2243
- **Practice address phone:** (409) 363-5022
- **Practice address fax:** (409) 363-5015
- **Mailing address:** 2280 SUNFLOWER ST, BEAUMONT, TX 77713-9214
- **Mailing address phone:** (239) 404-9870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2019
- **Last updated:** 03/06/2019