PROVIDIAN HEALTH CARE INC. – Home Health Agency, NPI 1063460483

PROVIDIAN HEALTH CARE INC. is a healthcare provider. based in Pearland, Texas. specializing in Home Health Agency. The organization holds a License No. 010276 (TX). The NPI Number for PROVIDIAN HEALTH CARE INC. is 1063460483

Main info

Organization
Name
PROVIDIAN HEALTH CARE INC.
NPI
1063460483
Phone
(281) 997-6272
Address
2421 ROY RD STE 101
Authorized Official
MERRILL MOHAN ADMINISTRATOR
Enumeration Date
5 May 2006
Last Update Date
7 April 2021

Contacts

Secure Messaging
jmohan@marathonhealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for PROVIDIAN HEALTH CARE INC.

  • 2421 ROY RD STE 101

    PEARLAND, TX 775818601

    Phone: (281) 997-6272

    Fax: (281) 997-6275

    Type: Mailing

  • 12929, Gulf Freeway, Houston, Harris County, Texas, 77034, United States

    SUITE 101

    HOUSTON, TX 770344853

    Phone: (713) 490-3500

    Fax: (713) 490-3501

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (831 days ago).

Enrollment records

1

Earliest due date

2024-02-29

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20090210000765OHome Health AgencyTX2024-02-29

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77581)

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Reviews

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Frequently asked questions

Can I verify PROVIDIAN HEALTH CARE INC. with an NPI only?
You can start verification with NPI 1063460483 for PROVIDIAN HEALTH CARE INC., then check state licensing separately.
Does CMS list PROVIDIAN HEALTH CARE INC. as active?
Yes — PROVIDIAN HEALTH CARE INC. is active in the NPI listing used on this page.
What taxonomy line describes PROVIDIAN HEALTH CARE INC.?
For research purposes, treat PROVIDIAN HEALTH CARE INC. as Home Health Agency in this dataset. Clinical services aligned with this taxonomy classification.
Where is PROVIDIAN HEALTH CARE INC. based?
PROVIDIAN HEALTH CARE INC. is tied to Pearland, Texas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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