Providence Home Care L.l.c

NPI Registration Record

Provider / Organization	NPI	Date Certified
PROVIDENCE HOME CARE L.L.C	1861006439	2022-02-24

The organization Providence Home Care L.l.c is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1861006439. Registration indicates Providence Home Care L.l.c is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Mental Retardation & Developmental Disabilities, ) (Psychologist Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers) (Psychologist, ) (Nursing Service Providers, Registered Nurse) (Registered Nurse Home Health, Nursing Service Providers) (Registered Nurse, ) (Agencies, Day Training, Developmentally Disabled Services) (Day Training, Developmentally Disabled Services, ) (Day Training, Developmentally Disabled Services, Agencies) (Agencies, In Home Supportive Care) (In Home Supportive Care, ) (In Home Supportive Care, Agencies) (Nursing Service Related Providers, Chore Provider) (Chore Provider, ) (Chore Provider, Nursing Service Related Providers) (Nursing Service Related Providers, Adult Companion) (Adult Companion, ) (Adult Companion, Nursing Service Related Providers) (Nursing Service Related Providers, Day Training/Habilitation Specialist) (Day Training/Habilitation Specialist, ) (Day Training/Habilitation Specialist, Nursing Service Related Providers) (Nursing Service Related Providers, Home Health Aide) (Home Health Aide, ) (Home Health Aide, Nursing Service Related Providers) (Nursing Service Related Providers, Nurses Aide) (Nurses Aide, ) (Nurses Aide, Nursing Service Related Providers) (Nurses Aide, )

Other Names:

• Providence Home Care L.L.C

Entity Type	Organization
Provider Organization	PROVIDENCE HOME CARE L.L.C
Other Provider Organization	PROVIDENCE HOME CARE L.L.C
Practice Office Address	3965 4TH ST E WEST FARGO, ND US
Practice Office Telephone	7017090799
Mailing Address	3965 4TH ST E WEST FARGO, ND 580782865 US
Business Telephone	7017090799
Authorized Official	KOJO ALEXANDER, C.F.O 7017090799

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