Providence Place, Inc
NPI 1801064118ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Durham, NC
Intermediate Care Facility, Intellectual Disabilities in Durham, North Carolina, registered in NPPES in February 2008. The authorized official on file is Moses Oladapo Olanrewaju, PH.D., Ceo/Administrator.
Overview
| NPI | 1801064118 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2008 |
| Last updated in NPPES | Feb 20, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | MHL-032-422 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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