Providence Home Care L.l.c - Mental Health Clinic in West Fargo, ND

Providence Home Care L.l.c is a mental health clinic (Psychologist - Intellectual & Developmental Disabilities) in West Fargo, North Dakota. The current practice location for Providence Home Care L.l.c is 3965 4th St E, West Fargo, North Dakota. For appointments, you can reach them via phone at (701) 709-0799. The mailing address for Providence Home Care L.l.c is 3965 4th St E, West Fargo, North Dakota and phone number is (701) 709-0799.

Providence Home Care L.l.c is licensed to practice in * (Not Available) (license number ) and its NPI number is 1861006439. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (701) 709-0799.

Contact Information

Providence Home Care L.l.c
3965 4th St E
West Fargo
ND 58078-2865
(701) 709-0799
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameProvidence Home Care L.l.c
SpecialityPsychologist - Intellectual & Developmental Disabilities
Location3965 4th St E, West Fargo, North Dakota
Authorized Official Name and PositionKojo Alexander (C.F.O)
Authorized Official Contact7017090799
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Providence Home Care L.l.c
3965 4th St E
West Fargo
ND 58078-2865

Ph: (701) 709-0799
Providence Home Care L.l.c
3965 4th St E
West Fargo
ND 58078-2865

Ph: (701) 709-0799

NPI Details:

NPI Number1861006439
Provider Enumeration Date09/01/2020
Last Update Date02/24/2022
Certification Date02/24/2022

Medical Identifiers

Medical identifiers for Providence Home Care L.l.c such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861006439NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TM1800XPsychologist - Intellectual & Developmental Disabilities (* (Not Available))Primary
163WH0200XRegistered Nurse - Home Health (* (Not Available))Secondary
251C00000XDay Training, Developmentally Disabled Services (* (Not Available))Secondary
253Z00000XIn Home Supportive Care (* (Not Available))Secondary
372500000XChore Provider (* (Not Available))Secondary
372600000XAdult Companion (* (Not Available))Secondary
373H00000XDay Training/habilitation Specialist (* (Not Available))Secondary
374U00000XHome Health Aide (* (Not Available))Secondary
376K00000XNurse's Aide (* (Not Available))Secondary

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.