PROVIDENCE HOME HEALTH, LLC

Licensed Practical Nurse

Code: 164W00000X

Case Manager/Care Coordinator

Code: 171M00000X

Occupational Therapy Assistant

Code: 224Z00000X

Physical Therapist

Code: 225100000X

Physical Therapy Assistant

Code: 225200000X

Occupational Therapist

Code: 225X00000X

Specialist/Technologist — Speech-Language Assistant

Code: 2355S0801X

Speech-Language Pathologist

Code: 235Z00000X

Nurse Practitioner

Code: 363L00000X

Technician — Attendant Care Provider

Code: 3747A0650X

Home Health Aide

Code: 374U00000X

Registered Nurse

Code: 163W00000X