NPIMap

Organization Active NPI

Providelle Care LLC

  • In Home Supportive Care Agency
  • Celina, TX
National Provider Identifier
1043148968
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PROVIDELLE CARE LLC
Practice address
17017 Eastbrook Dr
Celina, TX 75009-2086
Phone
(681) 285-9008
NPI assigned
May 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ayodeji Aboaba
Title
Manager
Phone
(681) 285-9008

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

17017 Eastbrook Dr
Celina, TX 75009-2086

Mailing address

17017 Eastbrook Dr
Celina, TX 75009-2086
Phone (681) 285-9008

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1043148968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17017 EASTBROOK DR",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750092086",
            "telephone_number": "681-285-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17017 EASTBROOK DR",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750092086",
            "telephone_number": "681-285-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDELLE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "ABOABA",
        "authorized_official_first_name": "AYODEJI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "681-285-9008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.