Provident Care Residential Home LLC
NPI 1578150397 · Assisted Living Facility · Saint Cloud, FL
Provident Care Residential Home LLC is a Assisted Living Facility organization in Saint Cloud, FL (NPI 1578150397).
Provider details
- NPI number
- 1578150397
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Nadine Ellis-Mcintyre, Administrator(321) 443-5470
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Provident House
Registry dates
- Enumerated
- 2020-12-28
- Last updated
- 2020-12-28
- Certified
- 2020-12-28
Frequently asked questions
- What is Provident Care Residential Home LLC's NPI number?
- Provident Care Residential Home LLC's National Provider Identifier (NPI) is 1578150397, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provident Care Residential Home LLC?
- Provident Care Residential Home LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Provident Care Residential Home LLC located?
- Provident Care Residential Home LLC's practice location on file with NPPES is 4170 Mutter Rd, Saint Cloud, FL 34769-6836.
- What is Provident Care Residential Home LLC's phone number?
- The practice phone number listed in the NPPES registry for Provident Care Residential Home LLC is (407) 556-3406.
- Who is the authorized official for Provident Care Residential Home LLC?
- The authorized official listed on Provident Care Residential Home LLC's NPPES record is Nadine Ellis-Mcintyre, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provident Care Residential Home LLC's NPI active?
- Yes — Provident Care Residential Home LLC's NPI (1578150397) is active in the NPPES registry as of the last update on 2020-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.