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PROVIDENCE HOME CARE L.L.C
NPI 1689320988
Technician - Personal Care Attendant in West Fargo, ND

Active since February 24, 2022
3965 4TH ST E, WEST FARGO, ND 58078(701) 709-0799 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Providence Home Care L.l.c NPPES

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

PROVIDENCE HOME CARE L.L.C (NPI 1689320988) is a healthcare organization registered as a personal care attendant in West Fargo, North Dakota and active in the NPI registry since February 2022. The organization lists Kojo Alexander, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1689320988
Entity TypeOrganization
Primary Taxonomy3747P1801X
Legal Business NamePROVIDENCE HOME CARE L.L.C
Location Address3965 4TH ST EWest Fargo, ND 58078-2865
Mailing Address3965 4th St EWest Fargo, ND 58078-2865 · (701) 709-0799
Phone(701) 709-0799
Organization SubpartNo
Authorized OfficialKojo AlexanderDirector Of Operations · (701) 709-0799
Enumeration DateFebruary 24, 2022
NPPES CertifiedFebruary 24, 2022
✔ NPI 1689320988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

Also ListedChore ProviderTaxonomy 372500000X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedHomemakerTaxonomy 376J00000X
Also ListedNurse's AideTaxonomy 376K00000X
3965 4TH ST E, West Fargo, ND 58078
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Other Names 1

Doing Business AsProvidence Home Care L.l.c

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

PROVIDENCE HOME CARE L.L.C
Psychologist (Intellectual and Developmental Disabilities)
3965 4TH ST E
WEST FARGO, ND 58078
Cass County (701) 709-0799

Frequently Asked Questions

What is PROVIDENCE HOME CARE L.L.C's NPI number?

The NPI number assigned to this healthcare provider is 1689320988, enumerated as an "organization" on February 24, 2022.

Where is the provider located?

The provider is located at 3965 4TH ST E WEST FARGO, ND 58078 and the phone number is (701) 709-0799.

What is the provider's specialty?

Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.