OrganizationActive
Provision Home Health
NPI 1770855231 · Home Health Agency · Fort Worth, TX
Provider details
- NPI number
- 1770855231
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tanisha Manuel, Alternate Administrator(817) 449-7193
- License
- 173042 (TX)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
3823 E Loop 820 S
Fort Worth, TX 76119-4337
Phone: (817) 449-7193
Street-level locationGet directions
Mailing address
3823 E Loop 820 S
Fort Worth, TX 76119-4337
Registry dates
- Enumerated
- 2012-01-30
- Last updated
- 2012-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.