NPIMap

Organization Active NPI

Providence Total Care LLC

  • Transportation Broker
  • Houston, TX
National Provider Identifier
1538822440
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
PROVIDENCE TOTAL CARE LLC
Practice address
6201 Bonhomme Rd Ste 185ND
Houston, TX 77036-4371
Phone
(832) 857-0892
Fax
(832) 416-1502
NPI assigned
Oct 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

6201 Bonhomme Rd Ste 185ND
Houston, TX 77036-4371

Mailing address

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.

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1538822440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 BONHOMME RD STE 185ND",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364371",
            "telephone_number": "832-857-0892",
            "fax_number": "832-416-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 BONHOMME RD STE 185ND",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364371",
            "telephone_number": "832-857-0892",
            "fax_number": "832-416-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE TOTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "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": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 18, 2021; 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.