SODALIS ELDER LIVING
NPI 1891145595
Alzheimer Center (Dementia Center) in Austin, TX

Q: What is Provident Memory Care Group, LLC's NPI number?

The NPI number for Provident Memory Care Group, LLC is 1891145595. It was assigned to this organization in the NPPES registry on June 14, 2016. The provider is doing business as Sodalis Elder Living.

Q: What is Provident Memory Care Group, LLC's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Active since June 14, 2016

11013 SIGNAL HILL DR, AUSTIN, TX 78737(512) 637-5400 Get Directions Write a Review

NPPES record last updated: June 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sodalis Elder Living NPPES

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

SODALIS ELDER LIVING (NPI 1891145595) is a healthcare organization registered as an alzheimer center (dementia center) in Austin, Texas and active in the NPI registry since June 2016. The organization lists Michael Shawn Corzine, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891145595

Entity TypeOrganization

Primary Taxonomy311500000X

Legal Business NamePROVIDENT MEMORY CARE GROUP, LLC

Location Address11013 SIGNAL HILL DRAustin, TX 78737-2834

Mailing Address195 S Academy AveNew Braunfels, TX 78130-5607

Phone(512) 637-5400

Organization SubpartNo

Authorized OfficialMichael Shawn CorzineCeo · (830) 624-1044

Enumeration DateJune 14, 2016

✔ NPI 1891145595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities

Taxonomy Code311500000X

License✔ Licensed in TX · 142956

Definition

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

11013 SIGNAL HILL DR, Austin, TX 78737

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Other Names 1

Doing Business AsSodalis Elder Living

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 Provident Memory Care Group, LLC's NPI number?

The NPI number for Provident Memory Care Group, LLC is 1891145595. It was assigned to this organization in the NPPES registry on June 14, 2016. The provider is doing business as Sodalis Elder Living.

Where is Provident Memory Care Group, LLC located?

Provident Memory Care Group, LLC is located at 11013 Signal Hill Dr, Austin, TX 78737. The listed phone number is (512) 637-5400.

What is Provident Memory Care Group, LLC's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

When was this NPI record last updated?

The NPPES record for Provident Memory Care Group, LLC was last updated on June 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.