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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.

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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?
The practice location on file with NPPES is in Norfolk, VA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-08. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-07-08.