P Praxis·MD
● Active Type 2 · Organization

Provident Memory Care Group, Llc

Alzheimer Center (Dementia Center)·Livingston, TX· NPI 1992136626 · Enumerated 2013 · 12 years on NPI
Provident Memory Care Group, Llc is 1 of 42 alzheimer center (dementia center) organizations in Texas.
NPI age
12 years
Enumerated 2013-12-05
Primary specialty
Alzheimer Center (Dementia Center)
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Gagliardo
Director Of Operations
Last NPPES update
2021-03-18
Source: monthly bulk 2026-05

How this organization compares

Across 42 active alzheimer center (dementia center) providers in Texas.

NPI age
12 years
≈ at median (12 yr)
Practice locations
2
1 secondary on file
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-12Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
1810 N Washington Ave
Livingston, TX 773512130
📞 9363278195
Mailing address
1810 N Washington Ave
Livingston, TX 773512130
📞 9363278195

Additional practice locations

1 secondary location on file with NPPES.

Location 2
12515 Research Blvd, Bldg 7, Suite 200b
Austin, TX 787592228
📞 5122849382

Authorized official

Melanie Gagliardo
Director Of Operations
📞 2103855416

Specialties

  • Alzheimer Center (Dementia Center) Primary
    A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart...
    TX license #102962 taxonomy 311500000X
  • Assisted Living Facility
    A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
    TX license #137498 taxonomy 310400000X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Provident Memory Care Center
    Type code 3 recorded 2021-03-18
  • Provident Memory Care Center
    Type code 3 recorded 2021-02-26

Practice context

Multi-site organization. 1 additional practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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