Province Place
Province Place is a healthcare organization registered as Assisted Living Facility in Norfolk, VA, holding Type 2 (organization) NPI 1295998458 since 2008. The authorized official on file is Marj Pantone, Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1295998458 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Province Place |
| Practice address | 6403 GRANBY ST, Norfolk, VA, 23505 |
| Phone | 7574512400 |
| Enumeration date | 2008-07-08 |
| Last updated in NPPES | 2008-07-08 |
Authorized official
| Name | Marj Pantone |
|---|---|
| Title | Administrator |
| Phone | 7574512400 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Primary | — | — |
Copy-ready billing details
Provider: Province Place NPI: 1295998458 Taxonomy: 310400000X (Assisted Living Facility) Address: 6403 GRANBY ST, Norfolk, VA, 23505
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1730755778 | Depaul Va Opco LLC | Organization | Skilled Nursing Facility | Norfolk, VA |
| 1932908126 | Riverpoint Alf Operations LLC | Organization | Assisted Living Facility | Norfolk, VA |
| 1285599746 | Avenues Recovery Extended Care at Norfolk LLC | Organization | Substance Use Disorder Rehabilitation Clinic/Center | Norfolk, VA |
| 1447117619 | Avenues Recovery Center at Norfolk LLC | Organization | Intellectual and/or Developmental Disabilities Residential Treatment Facility | Norfolk, VA |
| 1528909835 | Avenues Recovery Center at Norfolk LLC | Organization | Substance Abuse Rehabilitation Facility | Norfolk, VA |
| 1437090743 | Avenues Recovery Center at Norfolk LLC | Organization | Community/Behavioral Health Agency | Norfolk, VA |
Verify this record
Cross-check NPI 1295998458 against the authoritative CMS record: view Province Place on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Province Place located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-07-08.