OrganizationActive
Providian Total Health LLC
NPI 1740599240 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Baytown, TX
Provider details
- NPI number
- 1740599240
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michael Ihekoronye, Manager(832) 512-3234
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
618 Travis St
Baytown, TX 77520-7568
Phone: (832) 512-3234
Fax: (832) 615-0813
Street-level locationGet directions
Mailing address
718 Mistycreek Dr
Richmond, TX 77406-1263
Registry dates
- Enumerated
- 2010-09-30
- Last updated
- 2010-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.