Provident Memory Care Group, LLC
NPI 1891145595 · Alzheimer Center (Dementia Center) · Austin, TX
Provident Memory Care Group, LLC is a Alzheimer Center (Dementia Center) organization in Austin, TX (NPI 1891145595).
Provider details
- NPI number
- 1891145595
- Entity type
- Organization
- Primary specialty
- Alzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Corzine, Ceo(830) 624-1044
- License
- 142956 (TX)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Other names (DBA / former)
- Doing business as
- Sodalis Elder Living
Registry dates
- Enumerated
- 2016-06-14
- Last updated
- 2016-06-14
Frequently asked questions
- What is Provident Memory Care Group, LLC's NPI number?
- Provident Memory Care Group, LLC's National Provider Identifier (NPI) is 1891145595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provident Memory Care Group, LLC?
- Provident Memory Care Group, LLC is classified in the NPPES registry as Alzheimer Center (Dementia Center) (Nursing & Custodial Care Facilities).
- Where is Provident Memory Care Group, LLC located?
- Provident Memory Care Group, LLC's practice location on file with NPPES is 11013 Signal Hill Dr, Austin, TX 78737-2834.
- What is Provident Memory Care Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Provident Memory Care Group, LLC is (512) 637-5400.
- Who is the authorized official for Provident Memory Care Group, LLC?
- The authorized official listed on Provident Memory Care Group, LLC's NPPES record is Michael Corzine, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provident Memory Care Group, LLC's NPI active?
- Yes — Provident Memory Care Group, LLC's NPI (1891145595) is active in the NPPES registry as of the last update on 2016-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.