Providence Home

LBN: Providence Home
Providence Home is an health care organization with primary practice located at 8108 Modesto Dr , Arlington TX 76001-8545. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Providence Home can be contacted via phone (817) 715-0236, or through Fogwe, Saaghe Mmbi via phone (817) 715-0236.

Contact Information

Primary practice address
8108 Modesto Dr Arlington TX 76001-8545
Phone: (817) 715-0236
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fogwe, Saaghe Mmbi
Phone: (817) 715-0236

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1700105426
LBN Legal business name Providence Home
DBA Doing business as
Authorized official Fogwe, Saaghe Mmbi
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2010
Last updated May 20th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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