Sodalis Elder Living

LBN: Provident Memory Care Group, Llc
Sodalis Elder Living is an health care organization with primary practice located at 11013 Signal Hill Dr , Austin TX 78737-2834. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), which is considered as the primary health care specialty. Provident Memory Care Group, Llc can be contacted via phone (512) 637-5400, or through Corzine, Michael Shawn via phone (830) 624-1044.

Contact Information

Primary practice address
11013 Signal Hill Dr Austin TX 78737-2834
Phone: (512) 637-5400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Corzine, Michael Shawn
Phone: (830) 624-1044

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X 142956 Texas

Profile Details

NPI number 1891145595
LBN Legal business name Provident Memory Care Group, Llc
DBA Doing business as Sodalis Elder Living
Authorized official Corzine, Michael Shawn
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2016
Last updated Jun 14th, 2016 - about 8 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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