# PROVISION HOME CARE LLC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528001823
- **Authorized official:** DAN MY BUI (PRESIDENT)
- **Authorized official phone:** (248) 852-4100

## Contact information

- **Practice address:** 2888 E LONG LAKE RD STE 127, TROY, MI 48085-3793
- **Practice address phone:** (247) 852-1700
- **Practice address fax:** (248) 852-4802
- **Mailing address:** 2888 E LONG LAKE RD STE 127, TROY, MI 48085-3793
- **Mailing address phone:** (247) 852-1700
- **Mailing address fax:** (248) 852-4802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 06/30/2020