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PROVIDENCE CARE INC
NPI 1245376375
Clinic/Center - Developmental Disabilities in Riverdale, MD

Active since January 29, 2007
5711 SARVIS AVE STE 608, RIVERDALE, MD 20737(301) 277-4337 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 26, 2019, Mar 17, 2018, Nov 14, 2017 (3 updates tracked since 2017).

About Providence Care Inc NPPES

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

PROVIDENCE CARE INC (NPI 1245376375) is a healthcare organization registered as a developmental disabilities in Riverdale, Maryland and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Alexandria and lists Guillaume Sery Kabert, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1245376375
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NamePROVIDENCE CARE INC
Location Address5711 SARVIS AVE STE 608Riverdale, MD 20737-1394
Mailing Address5711 Sarvis Ave Ste 608Riverdale, MD 20737-1394 · (301) 277-4337
Phone(301) 277-4337
Organization SubpartNo
Authorized OfficialGuillaume Sery KabertOwner/ceo · (301) 277-4337
Enumeration DateJanuary 29, 2007
Last NPPES UpdateNovember 26, 20193 updates tracked since enumeration
✔ NPI 1245376375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Also ListedNursing CareTaxonomy 251J00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X · License 039714600 (DC)
5711 SARVIS AVE STE 608, Riverdale, MD 20737
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Secondary Practice Location 1

Location 16911 Richmond Hwy Ste 266Alexandria, VA 22306-1844 · Phone (703) 718-0931

Other Identifiers 2

Medicaid405870400MD
Medicaid1245376375VA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEA NICOLE CAMPBELL SMITH
Home Health Aide
5711 SARVIS AVE STE 608
RIVERDALE, MD 20737
Prince George's County (301) 277-4337
ROSETTE SONTIA
Home Health Aide
5711 SARVIS AVE STE 608
RIVERDALE, MD 20737
Prince George's County (301) 277-4337
NFN NFORNJI NANCY SHEY
Technician (Personal Care Attendant)
5711 SARVIS AVE STE 608
RIVERDALE, MD 20737
Prince George's County (301) 277-4337
JUSTICE DADZIE
Home Health Aide
5711 SARVIS AVE STE 608
RIVERDALE, MD 20737
Prince George's County (301) 277-4337
VERONICA REMI MAYOWA
Home Health Aide
5711 SARVIS AVE STE 608
RIVERDALE, MD 20737
Prince George's County (301) 277-4337
AMARACHI JONGO
Home Health Aide
5711 SARVIS AVE STE 608
RIVERDALE, MD 20737
Prince George's County (301) 277-4337
BROU EUGENIE N GBOTTI EPSE KOUADIO
Nurse's Aide
5711 SARVIS AVE STE 608
RIVERDALE, MD 20737
Prince George's County (301) 277-4337
SILI FATOU KARIM CNA
Home Health Aide
5711 SARVIS AVE STE 608
RIVERDALE, MD 20737
Prince George's County (301) 277-4337

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 Care Inc's NPI number?

The NPI number for Providence Care Inc is 1245376375. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Providence Care Inc located?

Providence Care Inc is located at 5711 Sarvis Ave Ste 608, Riverdale, MD 20737. The listed phone number is (301) 277-4337.

What is Providence Care Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Providence Care Inc was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.