OrganizationActive
Provident Memory Care Group, LLC
NPI 1891145595 · Alzheimer Center (Dementia Center) · Austin, TX
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
Practice location
11013 Signal Hill Dr
Austin, TX 78737-2834
Phone: (512) 637-5400
Approximate (ZIP-level) locationGet directions
Mailing address
195 S Academy Ave
New Braunfels, TX 78130-5607
Other names (DBA / former)
- Doing business as
- Sodalis Elder Living
Registry dates
- Enumerated
- 2016-06-14
- Last updated
- 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.