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

Provident Memory Care Group, LLC

Organization Alzheimer Center (Dementia Center) · NPI 1891145595

Provident Memory Care Group, LLC is an Alzheimer Center (Dementia Center) in Austin, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
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

11013 Signal Hill Dr
Austin, TX 78737-2834
Phone: (512) 637-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Alzheimer Center (Dementia Center) (primary) Taxonomy 311500000X · Licence 142956 (TX)

Record details

NPI number1891145595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Corzine — Ceo · (830) 624-1044
Other names Sodalis Elder Living
NPI enumeratedJune 14, 2016
Last updated in NPPESJune 14, 2016
Mailing address195 S Academy Ave, New Braunfels, TX 78130-5607

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