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PROVIDIAN TOTAL HEALTH LLC
NPI 1740599240
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Baytown, TX

Active since September 30, 2010
618 TRAVIS ST, BAYTOWN, TX 77520(832) 512-3234(832) 615-0813 Get Directions Write a Review

NPPES record last updated: September 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providian Total Health Llc NPPES

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

PROVIDIAN TOTAL HEALTH LLC (NPI 1740599240) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Baytown, Texas and active in the NPI registry since September 2010. The organization lists Michael Ihekoronye, Manager, as its authorized official.

NPPES Registry Identity

NPI1740599240
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePROVIDIAN TOTAL HEALTH LLC
Location Address618 TRAVIS STBaytown, TX 77520-7568
Mailing Address718 Mistycreek DrRichmond, TX 77406-1263 · Fax (832) 615-0813
Phone(832) 512-3234
Fax(832) 615-0813
Organization SubpartNo
Authorized OfficialMichael IhekoronyeManager · (832) 512-3234
Enumeration DateSeptember 30, 2010
✔ NPI 1740599240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
618 TRAVIS ST, Baytown, TX 77520
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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 Providian Total Health LLC's NPI number?

The NPI number for Providian Total Health LLC is 1740599240. It was assigned to this organization in the NPPES registry on September 30, 2010.

Where is Providian Total Health LLC located?

Providian Total Health LLC is located at 618 Travis St, Baytown, TX 77520. The listed phone number is (832) 512-3234.

What is Providian Total Health LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Providian Total Health LLC was last updated on September 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.