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

Providential Health Care, Inc

Organization Home Health Agency · NPI 1235455239

Providential Health Care, Inc is a Home Health Agency in Jacksonville, Florida. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13400 Sutton Park Dr S Ste 1101
Jacksonville, FL 32224-0236
Phone: (904) 992-2273
Fax: (904) 992-2270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
In Home Supportive Care Agency Taxonomy 253Z00000X

Record details

NPI number1235455239
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lydia Mwesigwa — Administrator · (214) 240-6146
NPI enumeratedApril 15, 2010
Last updated in NPPESAugust 10, 2010
Mailing address13400 Sutton Park Dr S, Suite 1101, Jacksonville, FL 32224-0236

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