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PROVIDENCE HOME
NPI 1700105426
Intermediate Care Facility, Intellectual Disabilities in Arlington, TX

Active since May 20, 2010
8108 MODESTO DR, ARLINGTON, TX 76001(817) 715-0236 Get Directions Write a Review

NPPES record last updated: May 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Home NPPES

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

PROVIDENCE HOME (NPI 1700105426) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Arlington, Texas and active in the NPI registry since May 2010. The organization lists Saaghe Mmbi Fogwe, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1700105426
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePROVIDENCE HOME
Location Address8108 MODESTO DRArlington, TX 76001-8545
Mailing Address8108 Modesto DrArlington, TX 76001-8545 · (817) 715-0236
Phone(817) 715-0236
Organization SubpartNo
Authorized OfficialSaaghe Mmbi FogweOwner/manager · (817) 715-0236
Enumeration DateMay 20, 2010
✔ NPI 1700105426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
8108 MODESTO DR, Arlington, TX 76001
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Other Providers at the Same Location NPPES

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

LORSAM RESIDENTIAL HOMES INC
Assisted Living Facility (Assisted Living, Behavioral Disturbances)
8108 MODESTO DR
ARLINGTON, TX 76001
Tarrant County (913) 207-9255

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 Home's NPI number?

The NPI number for Providence Home is 1700105426. It was assigned to this organization in the NPPES registry on May 20, 2010.

Where is Providence Home located?

Providence Home is located at 8108 Modesto Dr, Arlington, TX 76001. The listed phone number is (817) 715-0236.

What is Providence Home's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Providence Home was last updated on May 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.