PROVIDENT MEMORY CARE GROUP LLC NPI 1992136626

NPI Details

PROVIDENT MEMORY CARE GROUP, LLC is an alzheimer center dementia center in Livingston, TX. The provider is a freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. PROVIDENT MEMORY CARE GROUP, LLC NPI is 1992136626. The provider is registered as an organization entity type.
The provider Is Doing Business As Provident Memory Care Center.

The provider's business location address is:

1810 N WASHINGTON AVE
LIVINGSTON, TX
ZIP 77351-130
Phone: (936) 327-8195

The provider's authorized official is Melanie Gagliardo .
The authorized official title is Director Of Operations and has the following contact phone number (210) 385-5416.

The CLIA number assigned to this NPI record is 45D2169894 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2013 and was last updated on 3/18/2021.

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: