# PROVIDENCE TOTAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386273092
- **Authorized official:** OMOTOPE ALEXANDER (ADMINISTRATOR)
- **Authorized official phone:** (832) 857-0892

## Contact information

- **Practice address:** 10101 HARWIN DR STE 375, HOUSTON, TX 77036-1654
- **Practice address phone:** (832) 857-8920
- **Practice address fax:** (832) 416-1502
- **Mailing address:** 10101 HARWIN DR STE 375, HOUSTON, TX 77036-1654
- **Mailing address phone:** (832) 857-8920
- **Mailing address fax:** (832) 416-1502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 04/04/2020
- **Last updated:** 06/17/2024