PROVIDENCE HOME CARE L.L.C NPI 1861006439

NPI Information

NPI: 1861006439
Provider Name: PROVIDENCE HOME CARE L.L.C

Doing Business As: PROVIDENCE HOME CARE L.L.C

Classification: Psychologist - 103TM1800X
Entity Type: Organization

Specialization: Intellectual and Developmental Disabilities

Address:
3965 4TH ST E
WEST FARGO, ND
ZIP 58078
Phone: (701) 709-0799
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PROVIDENCE HOME CARE L.L.C is an intellectual and developmental disabilities in West Fargo, ND. PROVIDENCE HOME CARE L.L.C NPI is 1861006439. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Home Care L.l.c.

The provider's business location address is:

3965 4TH ST E
WEST FARGO, ND
ZIP 58078-865
Phone: (701) 709-0799

The provider's authorized official is Kojo Alexander .
The authorized official title is C.f.o and has the following contact phone number (701) 709-0799.

The enumeration date for this NPI number is 9/1/2020 and was last updated on 2/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	163WH0200X	Registered Nurse	Home Health	No
2	251C00000X	Day Training, Developmentally Disabled Services		No
3	253Z00000X	In Home Supportive Care		No
4	372500000X	Chore Provider		No
5	372600000X	Adult Companion		No
6	373H00000X	Day Training/Habilitation Specialist		No
7	374U00000X	Home Health Aide		No
8	376K00000X	Nurse's Aide		No
9	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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