Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Home Care LLC

Organization Intellectual & Developmental Disabilities Psychologist · NPI 1861006439

Providence Home Care LLC is an Intellectual & Developmental Disabilities Psychologist in West Fargo, North Dakota. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
9
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3965 4th St E
West Fargo, ND 58078-2865
Phone: (701) 709-0799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual & Developmental Disabilities Psychologist (primary) Taxonomy 103TM1800X
Home Health Registered Nurse Taxonomy 163WH0200X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Chore Provider Taxonomy 372500000X
Adult Companion Taxonomy 372600000X
Day Training/Habilitation Specialist Taxonomy 373H00000X
Home Health Aide Taxonomy 374U00000X
Nurse's Aide Taxonomy 376K00000X

Record details

NPI number1861006439
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kojo Alexander — C.F.O · (701) 709-0799
Other names Providence Home Care L.L.C; Providence Home Care L.L.C
NPI enumeratedSeptember 1, 2020
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022
Mailing address3965 4th St E, West Fargo, ND 58078-2865

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