Provider Demographics
NPI:1962633776
Name:PROVIDENCE HOME CARE AND TRAINING INSTITUE INC
Entity Type:Organization
Organization Name:PROVIDENCE HOME CARE AND TRAINING INSTITUE INC
Other - Org Name:PROVIDENCE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:ADEWUNMI
Authorized Official - Suffix:
Authorized Official - Credentials:BSC
Authorized Official - Phone:919-880-4278
Mailing Address - Street 1:807 SPRING FOREST RD
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-9197
Mailing Address - Country:US
Mailing Address - Phone:919-647-9021
Mailing Address - Fax:919-647-4569
Practice Address - Street 1:807 SPRING FOREST RD
Practice Address - Street 2:SUITE 2000
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-9197
Practice Address - Country:US
Practice Address - Phone:919-647-9021
Practice Address - Fax:919-647-4569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health