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

Providential Home Care of Nwa LLC

Organization In Home Supportive Care Agency · NPI 1104416247

Providential Home Care of Nwa LLC is an In Home Supportive Care Agency in Lowell, Arkansas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

113 Parkwood St Ste B
Lowell, AR 72745-8811
Phone: (479) 668-4338
Fax: (888) 247-6285
Show map & directions

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

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1104416247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Kersey — Owner · (479) 668-4338
Other names Providential Home Care
NPI enumeratedJanuary 22, 2021
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 22, 2021
Mailing address113 Parkwood St Ste B, Lowell, AR 72745-8811

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