OrganizationActive
Providian
NPI 1750517793 · Public Health or Welfare Agency · Moraine, OH
Providian is a Public Health or Welfare Agency organization in Moraine, OH (NPI 1750517793).
Provider details
- NPI number
- 1750517793
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Parent organization
- The Mustard Seed Foundation
- Organization subpart
- Yes
- Authorized official
- Shondale Atkinson, C.e.o.(937) 603-6643
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2844 E River Rd
Moraine, OH 45439-1538
Phone: (937) 603-6643
Street-level locationGet directions
Mailing address
402 Katy Ln
Englewood, OH 45322-2302
Registry dates
- Enumerated
- 2009-06-04
- Last updated
- 2009-06-04
Frequently asked questions
- What is Providian's NPI number?
- Providian's National Provider Identifier (NPI) is 1750517793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providian?
- Providian is classified in the NPPES registry as Public Health or Welfare Agency (Agencies).
- Where is Providian located?
- Providian's practice location on file with NPPES is 2844 E River Rd, Moraine, OH 45439-1538.
- What is Providian's phone number?
- The practice phone number listed in the NPPES registry for Providian is (937) 603-6643.
- Who is the authorized official for Providian?
- The authorized official listed on Providian's NPPES record is Shondale Atkinson, C.e.o.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providian's NPI active?
- Yes — Providian's NPI (1750517793) is active in the NPPES registry as of the last update on 2009-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.