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PROVIDENCE HOUSE INC
NPI 1710614870
Community/Behavioral Health in Capitol Heights, MD

Active since August 08, 2022
4802 DEANWOOD DR, CAPITOL HEIGHTS, MD 20743(973) 444-1983(443) 584-4022 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Providence House Inc NPPES

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

PROVIDENCE HOUSE INC (NPI 1710614870) is a healthcare organization registered as a community/behavioral health in Capitol Heights, Maryland and active in the NPI registry since August 2022. The organization lists Anthony Jerome Anderson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710614870
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePROVIDENCE HOUSE INC
Location Address4802 DEANWOOD DRCapitol Heights, MD 20743-1129
Mailing Address4802 Deanwood DrCapitol Heights, MD 20743-1129 · (973) 444-1983 · Fax (443) 584-4022
Phone(973) 444-1983
Fax(443) 584-4022
Organization SubpartNo
Authorized OfficialAnthony Jerome AndersonCeo · (973) 444-1983
Enumeration DateAugust 8, 2022
NPPES CertifiedAugust 8, 2022
✔ NPI 1710614870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4802 DEANWOOD DR, Capitol Heights, MD 20743
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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 House Inc's NPI number?

The NPI number for Providence House Inc is 1710614870. It was assigned to this organization in the NPPES registry on August 8, 2022.

Where is Providence House Inc located?

Providence House Inc is located at 4802 Deanwood Dr, Capitol Heights, MD 20743. The listed phone number is (973) 444-1983.

What is Providence House Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Providence House Inc was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.