PROVIDENCE HEALTH CARE AGENCY LLC
NPI 1003649104
In Home Supportive Care in Dallas, TX

Q: What is Providence Health Care Agency LLC's NPI number?

The NPI number for Providence Health Care Agency LLC is 1003649104. It was assigned to this organization in the NPPES registry on August 23, 2024.

Q: What is Providence Health Care Agency LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since August 23, 2024

2538 BAHAMA DR APT 238, DALLAS, TX 75211(214) 407-4242 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Providence Health Care Agency Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH CARE AGENCY LLC (NPI 1003649104) is a healthcare organization registered as an in home supportive care in Dallas, Texas and active in the NPI registry since August 2024. The organization lists Quargnilde Ilekendi, Member, as its authorized official.

NPPES Registry Identity

NPI1003649104

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NamePROVIDENCE HEALTH CARE AGENCY LLC

Location Address2538 BAHAMA DR APT 238Dallas, TX 75211-2137

Mailing Address2538 Bahama Dr Apt 238Dallas, TX 75211-2137

Phone(214) 407-4242

Organization SubpartNo

Authorized OfficialQuargnilde IlekendiMember · (214) 407-4242

Enumeration DateAugust 23, 2024

Last NPPES UpdateJanuary 22, 2025

NPPES CertifiedJanuary 22, 2025

✔ NPI 1003649104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X

2538 BAHAMA DR APT 238, Dallas, TX 75211

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health Care Agency LLC's NPI number?

The NPI number for Providence Health Care Agency LLC is 1003649104. It was assigned to this organization in the NPPES registry on August 23, 2024.

Where is Providence Health Care Agency LLC located?

Providence Health Care Agency LLC is located at 2538 Bahama Dr Apt 238, Dallas, TX 75211. The listed phone number is (214) 407-4242.

What is Providence Health Care Agency LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Providence Health Care Agency LLC was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.