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

Providence House Inc

Organization Community/Behavioral Health Agency · NPI 1710614870

Providence House Inc is a Community/Behavioral Health Agency in Capitol Heights, Maryland. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4802 Deanwood Dr
Capitol Heights, MD 20743-1129
Phone: (973) 444-1983
Fax: (443) 584-4022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1710614870
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Anderson — Ceo · (973) 444-1983
NPI enumeratedAugust 8, 2022
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022
Mailing address4802 Deanwood Dr, Capitol Heights, MD 20743-1129

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