Providence Health LLC
NPI 1184492357 · Developmentally Disabled Services Day Training Agency · Laveen, AZ
Providence Health LLC is a Developmentally Disabled Services Day Training Agency organization in Laveen, AZ (NPI 1184492357).
Provider details
- NPI number
- 1184492357
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Victory Ezenwaka, Ceo/Owner(480) 434-1113
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-18
- Last updated
- 2023-12-18
- Certified
- 2023-12-16
Frequently asked questions
- What is Providence Health LLC's NPI number?
- Providence Health LLC's National Provider Identifier (NPI) is 1184492357, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health LLC?
- Providence Health LLC is classified in the NPPES registry as Developmentally Disabled Services Day Training Agency (Agencies).
- Where is Providence Health LLC located?
- Providence Health LLC's practice location on file with NPPES is 6311 W Magdalena Ln, Laveen, AZ 85339-5483.
- What is Providence Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Health LLC is (480) 434-1113.
- Who is the authorized official for Providence Health LLC?
- The authorized official listed on Providence Health LLC's NPPES record is Victory Ezenwaka, Ceo/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health LLC's NPI active?
- Yes — Providence Health LLC's NPI (1184492357) is active in the NPPES registry as of the last update on 2023-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.