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Contact Information

PROV16, LLC
1111 S ORCHARD ST STE 206
BOISE, ID83705-1922
 Phone: 208-285-2353
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for PROV16, LLC

NPI # 1689330417
LBN Legal business name PROV16, LLC
Authorized official RUTH HERRERA - (DIRECTOR OF CONTRACT PROCUREMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/16/2021
Last updated 10/01/2022 - About 4 years ago
Identifiers
ID Other 1689330417 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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