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Provident Memory Care Group, LLC — NPI 1992136626, Livingston, TX | NPI Central

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NPI 1992136626

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Provident Memory Care Group, LLC

NPI 1992136626 · Alzheimer Center (Dementia Center) · Livingston, TX

Provider details

NPI number: 1992136626
Entity type: Organization
Primary specialty: Alzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Melanie Gagliardo, Director of Operations(210) 385-5416
License: 137498 (TX)

Specialties & taxonomies

Alzheimer Center (Dementia Center)Primary311500000XLicense 102962 (TX)
Nursing & Custodial Care Facilities
Assisted Living Facility310400000XLicense 137498 (TX)
Nursing & Custodial Care Facilities

Practice location

1810 N Washington Ave

Livingston, TX 77351-2130

Phone: (936) 327-8195

Approximate (ZIP-level) locationGet directions

More TX providers

Mailing address

1810 N Washington Ave

Livingston, TX 77351-2130

Other names (DBA / former)

Doing business as: Provident Memory Care Center
Doing business as: Provident Memory Care Center

Additional practice locations (1)

12515 Research Blvd
Bldg 7, Suite 200b
Austin, TX 78759-2228
Phone: (512) 284-9382

Registry dates

Enumerated: 2013-12-05
Last updated: 2021-03-18
Certified: 2021-02-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.