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.
Organization
PROVIZIONS CARE LLC
Active
Organization
PROVIZIONS CARE LLC
Active
Other names
PROVIZIONS TRANSITIONAL HOUSING
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA U PROSS (CEO)
(704) 963-7552
Entity
Organization
Contact information
Practice address
424 LAKEWOOD AVE, CHARLOTTE, NC 28208-3148
(704) 963-7552
(774) 307-2797
Mailing address
5835 EXECUTIVE CENTER DR STE 101F, CHARLOTTE, NC 28212-8901
(704) 963-7552
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/16/2016
Last updated
10/16/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up