Organization Active NPI

Providence Total Care LLC

  • In Home Supportive Care Agency
  • Houston, TX
National Provider Identifier
1386273092
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PROVIDENCE TOTAL CARE LLC
Practice address
10101 Harwin Dr Ste 375
Houston, TX 77036-1654
Phone
(832) 857-8920
Fax
(832) 416-1502
NPI assigned
Apr 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Omotope Alexander
Title
Administrator
Phone
(832) 857-0892

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Home Health Agency 251E00000X
Home Infusion Agency 251F00000X
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

10101 Harwin Dr Ste 375
Houston, TX 77036-1654

Mailing address

10101 Harwin Dr Ste 375
Houston, TX 77036-1654
Phone (832) 857-8920

Other practice location 1

6201 Bonhomme Rd Ste 185Nd
Houston, TX 77036-4371
Phone (832) 857-0892

National Provider Directory

National Provider Directory
Tax ID family
Providence Total Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6201 Bonhomme Rd
Ste 185NO
Houston, TX 77036
Phone (713) 459-4824

10101 Harwin Dr
Ste 375
Houston, TX 77036
Phone (832) 404-2633

NPI Registry JSON

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1386273092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 HARWIN DR STE 375",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361654",
            "telephone_number": "832-857-8920",
            "fax_number": "832-416-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 HARWIN DR STE 375",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770361654",
            "telephone_number": "832-857-8920",
            "fax_number": "832-416-1502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6201 Bonhomme Rd Ste 185Nd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770364371",
            "country_code": "US",
            "telephone_number": "832-857-0892",
            "fax_number": "832-416-1502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROVIDENCE TOTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-04",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "OMOTOPE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-857-0892"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.