OIG exclusion detail
PROVIDENT HOME HEALTH CARE SER
This page shows an imported LEIE row. Verify details against the official OIG source before acting.
Imported OIG rowOfficial OIG source
- NPI
- 0000000000
- Name
- PROVIDENT HOME HEALTH CARE SER
- Address
- 4312 EAGLE ROCK BLVD, LOS ANGELES, CA, 90041
- Specialty
- HOME HEALTH AGENCY
- Exclusion type
- 1128b7
- Exclusion date
- 20050601
- Reinstatement date
- 00000000
- Waiver
- 00000000
Source snapshot
Imported: May 05, 2026
Rows: 83,001
Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7
Open matching NPI page