# PROVIDENCE HOME CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1780493056
- **Authorized official:** DANIEL HONG (OWNER, PRESIDENT)
- **Authorized official phone:** (201) 989-7374

## Contact information

- **Practice address:** 1555 ELM ST APT 1705, DALLAS, TX 75201-3510
- **Practice address phone:** (201) 989-7374
- **Mailing address:** 1555 ELM ST APT 1705, DALLAS, TX 75201-3510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/02/2025
- **Last updated:** 01/02/2025