PROVIDIAN
NPI 1750517793
Public Health or Welfare in Moraine, OH

Active since June 04, 2009
2844 E RIVER RD, MORAINE, OH 45439(937) 603-6643 Get Directions Write a Review

NPPES record last updated: June 4, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Providian NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDIAN (NPI 1750517793) is a healthcare organization registered as a public health or welfare in Moraine, Ohio and active in the NPI registry since June 2009. The organization lists Shondale Nicole Atkinson, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1750517793
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NamePROVIDIAN
Location Address2844 E RIVER RDMoraine, OH 45439-1538
Mailing Address402 Katy LnEnglewood, OH 45322-2302 · (937) 603-6643
Organization SubpartYesParent: The Mustard Seed Foundation
Authorized OfficialShondale Nicole AtkinsonC.e.o. · (937) 603-6643
Enumeration DateJune 4, 2009
✔ NPI 1750517793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
2844 E RIVER RD, Moraine, OH 45439

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providian's NPI number?

The NPI number for Providian is 1750517793. It was assigned to this organization in the NPPES registry on June 4, 2009.

Where is Providian located?

Providian is located at 2844 E River Rd, Moraine, OH 45439. The listed phone number is (937) 603-6643.

What is Providian's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

When was this NPI record last updated?

The NPPES record for Providian was last updated on June 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.