5&2 PROVISIONS LLC — NPI 1316860976 (Licensed & Credentialed Meals in CROWLEY, TX)

CMS-1500 Box 24J / 33a • NPI

1316860976

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

174200000X

Licensed & Credentialed Meals

Box 32 Service Location & ZIP+4

4701 WATER LILY LN, CROWLEY, TX, 76036-3834

✓ 9-Digit EDI 837 ZIP+4 (76036-3834)

Practice Phone & Referral Fax

(682) 201-5886

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1316860976 (5&2 PROVISIONS LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1316860976` (NPI-2 Organization / Facility)
Provider / Legal Name	5&2 PROVISIONS LLC
Plain-English Specialty	Licensed & Credentialed Meals NUCC Code: `174200000X` (Meals)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4701 WATER LILY LN, CROWLEY, TX, 76036-3834
Practice Telephone / Fax	Tel: (682) 201-5886
Administrative Mailing Address	4701 WATER LILY LN, CROWLEY, TX, 76036-3834
Enumeration & Last Sync	Enumerated: 2026-07-31 \| CMS Record Updated: 2026-07-31
Authorized Official	DEXTER LAUREANO (Managing Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4701 WATER LILY LN, CROWLEY, TX, 76036-3834

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Plain-English Taxonomy & CMS Crosswalk (174200000X)

What Does Taxonomy Code 174200000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 174200000X translates to:
"Licensed & Credentialed Meals"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Meals for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (5&2 PROVISIONS LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`174200000X` — Meals Plain English: Licensed & Credentialed Meals	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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5&2 PROVISIONS LLC (NPI #1316860976)