| NPI | 1568446185 |
|---|---|
| Doing Business As | PROVISTA HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | MELISSA RODRIGUEZ Administrator 888-965-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: TX 014495) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse |
| 225X00000X Occupational Therapist | |
| 163WH0200X Registered Nurse, Home Health | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 225200000X Physical Therapy Assistant | |
| 1041C0700X Social Worker, Clinical | |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2025-09-10 |