Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Provident Care Residential Home LLC

Organization Assisted Living Facility · NPI 1578150397

Provident Care Residential Home LLC is an Assisted Living Facility in Saint Cloud, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4170 Mutter Rd
Saint Cloud, FL 34769-6836
Phone: (407) 556-3406
Fax: (407) 556-3406
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1578150397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nadine Ellis-McIntyre — Administrator · (321) 443-5470
Other names Provident House
NPI enumeratedDecember 28, 2020
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020
Mailing address4170 Mutter Rd, Saint Cloud, FL 34769-6836

Other providers in Saint Cloud