OrganizationActive
Providence Home Care L.L.C
NPI 1861006439 · Intellectual & Developmental Disabilities Psychologist · West Fargo, ND
Provider details
- NPI number
- 1861006439
- Entity type
- Organization
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kojo Alexander, C.f.o(701) 709-0799
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Home Health Registered Nurse163WH0200X
Nursing Service Providers
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Chore Provider372500000X
Nursing Service Related Providers
- Adult Companion372600000X
Nursing Service Related Providers
- Day Training/Habilitation Specialist373H00000X
Practice location
3965 4th St E
West Fargo, ND 58078-2865
Phone: (701) 709-0799
Approximate (ZIP-level) locationGet directions
Mailing address
3965 4th St E
West Fargo, ND 58078-2865
Other names (DBA / former)
- Doing business as
- Providence Home Care L.L.C
- Doing business as
- Providence Home Care L.L.C
Registry dates
- Enumerated
- 2020-09-01
- Last updated
- 2022-02-24
- Certified
- 2022-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.