# PROVIDE HOMECARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912249624
- **Authorized official:** MR. VINCENT M. MIVEHCHI MBA (PRESIDENT/CEO)
- **Authorized official phone:** (714) 283-2085

## Contact information

- **Practice address:** 5419 E ESTATE RIDGE RD, ANAHEIM, CA 92807-4662
- **Practice address phone:** (714) 283-2085
- **Practice address fax:** (714) 283-2085
- **Mailing address:** 5753G E SANTA ANA CANYON RD \# 245, ANAHEIM, CA 92807-3229
- **Mailing address phone:** (714) 283-2085
- **Mailing address fax:** (714) 283-2230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | C3320910 | CA | — |
| 253Z00000X | In Home Supportive Care Agency | C3320910 | CA | Yes |

## Other

- **Enumeration date:** 03/20/2013
- **Last updated:** 03/20/2013