Providence Health Care Agency LLC
NPI 1003649104ActiveOrganization· In Home Supportive Care· Dallas, TX
In Home Supportive Care in Dallas, Texas, registered in NPPES in August 2024. The authorized official on file is Quargnilde Ilekendi, Member.
Overview
| NPI | 1003649104 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2024 |
| Last updated in NPPES | Jan 22, 2025 |
| Certified by provider | Jan 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| In Home Supportive Care Primary | 253Z00000X | — | — |
| Technician, Personal Care Attendant | 3747P1801X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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