PROVIDENCE HOME CARE L.L.C
NPI 1861006439
Psychologist - Intellectual and Developmental Disabilities in West Fargo, ND

Q: What is Providence Home Care L.L.C's NPI number?

The NPI number for Providence Home Care L.L.C is 1861006439. It was assigned to this organization in the NPPES registry on September 1, 2020.

Q: What is Providence Home Care L.L.C's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

Active since September 01, 2020

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: August 09, 2026.

Record update history: Feb 24, 2022, Feb 16, 2022, Sep 2, 2020 (3 updates tracked since 2020).

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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 1861006439) is a healthcare organization registered as an intellectual and developmental disabilities in West Fargo, North Dakota and active in the NPI registry since September 2020. The organization lists Kojo Alexander, C.f.o, as its authorized official.

NPPES Registry Identity

NPI1861006439

Entity TypeOrganization

Primary Taxonomy103TM1800X

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 AlexanderC.f.o · (701) 709-0799

Enumeration DateSeptember 1, 2020

Last NPPES UpdateFebruary 24, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2022

✔ NPI 1861006439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers

Taxonomy Code103TM1800X

Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedChore ProviderTaxonomy 372500000X

Also ListedAdult CompanionTaxonomy 372600000X

Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X

Also ListedHome Health AideTaxonomy 374U00000X

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 provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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

Technician (Personal Care Attendant)

3965 4TH ST E
WEST FARGO, ND 58078

Cass County (701) 709-0799

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 Care L.L.C's NPI number?

The NPI number for Providence Home Care L.L.C is 1861006439. It was assigned to this organization in the NPPES registry on September 1, 2020.

Where is Providence Home Care L.L.C located?

Providence Home Care L.L.C is located at 3965 4th St E, West Fargo, ND 58078. The listed phone number is (701) 709-0799.

What is Providence Home Care L.L.C's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Providence Home Care L.L.C was last updated on February 24, 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.