PROVIDENCE PLACE INC. NPI 1558411942

NPI Information

  • NPI: 1558411942
  • Provider Name: PROVIDENCE PLACE, INC.
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 916 CLAYTON RD
    DURHAM, NC
    ZIP 27703
  • Phone: (919) 767-9037

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NPI Details

PROVIDENCE PLACE, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Durham, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. PROVIDENCE PLACE, INC. NPI is 1558411942. The provider is registered as an organization entity type.

The provider's business location address is:

916 CLAYTON RD
DURHAM, NC
ZIP 27703-608
Phone: (919) 767-9037
Fax: (919) 768-1090

The provider's authorized official is Moses Oladapo Olanrewaju .
The authorized official title is President and has the following contact phone number (919) 767-9037.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 2/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-032-422NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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