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Providence Place, Inc.

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Durham, NC · enumerated 2007 · authorized official Moses Olanrewaju, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558411942

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Place, Inc.
Practice address 916 Clayton Rd, Durham, NC, 27703
Fax (919) 768-1090
Enumeration date Jan 10, 2007
Last updated in NPPES Feb 15, 2008

Taxonomy & classification

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities · License MHL-032-422 (NC) Primary

Authorized official

Name Moses Olanrewaju
Title President

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.

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Frequently asked questions

What is the NPI number for Providence Place, Inc.?
The NPI for Providence Place, Inc. is 1558411942, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Providence Place, Inc.?
NPPES lists Moses Olanrewaju (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-15.