MEDICARE: PROVIDENTIAL HOMECARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385H00000X	Respite Care
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1760023998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROVIDENTIAL HOMECARE

Provider Business Mailing Address
First Line	:	1445 E RIO RD STE 201C
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-1751
Country	:	US
Telephone Number	:	978-844-6486
Fax Number	:

Provider Business Practice Location Address
First Line	:	1445 E RIO RD STE 201C
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22901-1751
Country	:	US
Telephone Number	:	978-844-6486
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR AND ADMINISTRATOR
Name	:	MRS. JULIANA AMEYAA SARPONG
Credential	:	REGISTERED NURSE
Telephone Number	:	978-844-6486

Provider Enumeration Date	:	09/29/2019
Last Update Date	:	09/29/2019

Similar Medicare Providers

1912635293 — MR. EWAN DUARTE
Practice Location Address:

1445 RIO RD E STE 104
CHARLOTTESVILLE, VA
22901-1751

Practice Phone: 434-202-3787
Practice Fax: 434-205-9594

1548808900 — JACQUE KAREN GENTRY
Practice Location Address:

1445 E RIO RD
CHARLOTTESVILLE, VA
22901-1751

Practice Phone: 866-866-9277
Practice Fax:

1215744818 — DREW EDMONDSON LMT
Practice Location Address:

1445 E RIO RD STE 201F
CHARLOTTESVILLE, VA
22901-1751

Practice Phone: 434-872-1893
Practice Fax:

1275753618 — MS. ROBIN CHURCHILL BERNHARD LCSW M ED
Practice Location Address:

420 THIRD STREET NE
CHARLOTTESVILLE, VA
22902-1751

Practice Phone: 434-878-3146
Practice Fax: 800-605-1939

1134706971 — ALEXANDER DEXI BAO MD
Practice Location Address:

1414 SACHEM PL STE 1
CHARLOTTESVILLE, VA
22901-2560

Practice Phone: 434-218-0405
Practice Fax:

1811625692 — ANCHOR HEALTHCARE, PLC
Practice Location Address:

1414 SACHEM PL STE 1
CHARLOTTESVILLE, VA
22901-2560

Practice Phone: 434-218-0405
Practice Fax:

Directions to “PROVIDENTIAL HOMECARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.