Organization
PROVIDENCE HEALTH CARE AND ASSISTED LIVING
Active
Organization
PROVIDENCE HEALTH CARE AND ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYCHELLE SANDERS (MANAGER)
(210) 322-9647
Entity
Organization
Contact information
Practice address
2906 FORT STOCKTON DR, KATY, TX 77449-6257
(210) 322-9647
Mailing address
2906 FORT STOCKTON DR, KATY, TX 77449-6257
(210) 322-9647
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144811589
NPI
TX
Enumeration date
03/30/2022
Last updated
03/30/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up