OrganizationActive
Provident Home Care, Inc.
NPI 1831662022 · Home Health Agency · St Petersburg, FL
Provider details
- NPI number
- 1831662022
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- David Wilson, Owner/Cfo(615) 347-0900
Specialties & taxonomies
Agencies
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
4934 17th Ave N
St Petersburg, FL 33710-5202
Phone: (615) 347-0900
Street-level locationGet directions
Mailing address
123 Pebble Creek Rd
Franklin, TN 37064-5525
Registry dates
- Enumerated
- 2019-01-10
- Last updated
- 2019-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.