Avencare Provider Services LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

AVENCARE PROVIDER SERVICES LLC

Practice address

19002 Derrington Manor LN
Richmond, TX 77407-3586

Phone

(832) 219-5032

Fax

(713) 575-3003

NPI assigned

Dec 9, 2025

Organization subpart

No

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

Authorized official

Name

Karimat Omowunmi Abdulwahab

Title

Ceo/Owner

Phone

(832) 219-5032

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hameedat Anike Abdulwahab

  • Personal Care Attendant
  • Richmond, TX
  • NPI 1518834001

  Single Specialty

  NPD

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1104789775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19002 DERRINGTON MANOR LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073586",
            "telephone_number": "832-219-5032",
            "fax_number": "713-575-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19002 DERRINGTON MANOR LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073586",
            "telephone_number": "832-219-5032",
            "fax_number": "713-575-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENCARE PROVIDER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "ABDULWAHAB",
        "authorized_official_first_name": "KARIMAT",
        "authorized_official_middle_name": "OMOWUNMI",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "832-219-5032"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Richmond, TX
• Providers in Richmond, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.