Providence Home Care L.L.C

LBN: Providence Home Care L.L.C
Providence Home Care L.L.C is an health care organization with primary practice located at 3965 4Th St E , West Fargo ND 58078-2865. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Nursing Service Providers / Home Health, Agencies / Day Training, Developmentally Disabled Services, Agencies / In Home Supportive Care, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Day Training/Habilitation Specialist, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide. Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities is the primary health care specialty. Providence Home Care L.L.C can be contacted via phone (701) 709-0799, or through Alexander, Kojo via phone (701) 709-0799.

Contact Information

Primary practice address
3965 4Th St E West Fargo ND 58078-2865
Phone: (701) 709-0799
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alexander, Kojo
Phone: (701) 709-0799

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X
Nursing Service Providers / Home Health 163WH0200X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Nursing Service Related Providers / Home Health Aide 374U00000X
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1861006439
LBN Legal business name Providence Home Care L.L.C
DBA Doing business as Providence Home Care L.L.C
Authorized official Alexander, Kojo
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2020
Last updated Feb 24th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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