Organization
PROVISIONAM
Active
Other names
ProvisioAm, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CARLINE PIERRE-LOUIS CENATUS (OWNER)
(239) 404-9870
Entity
Organization
Contact information
Practice address
3819 PHELAN BLVD, BEAUMONT, TX 77707-2243
(409) 363-5022
(409) 363-5015
Mailing address
2280 SUNFLOWER ST, BEAUMONT, TX 77713-9214
(239) 404-9870
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
WAITING FOR MEDICARE NUMBER
TX
Enumeration date
03/06/2019
Last updated
03/06/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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