PROVIDENCE HOME CARE L.L.C NPI 1861006439

NPI Information

  • NPI: 1861006439
  • Provider Name: PROVIDENCE HOME CARE L.L.C
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Organization
  • Doing Business As: PROVIDENCE HOME CARE L.L.C
  • Address: 3965 4TH ST E
    WEST FARGO, ND
    ZIP 58078
  • Phone: (701) 709-0799

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NPI Details

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 License Number License State Primary
1163WH0200XRegistered NurseHome HealthNo
2251C00000XDay Training, Developmentally Disabled ServicesNo
3253Z00000XIn Home Supportive CareNo
4372500000XChore ProviderNo
5372600000XAdult CompanionNo
6373H00000XDay Training/Habilitation SpecialistNo
7374U00000XHome Health AideNo
8376K00000XNurse's AideNo
9103TM1800XPsychologistIntellectual and Developmental DisabilitiesYes

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: 11/21/2025

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