PROVIDENCE PLACE, LLC
NPI 1063242568
Assisted Living Facility in High Point, NC

Active since August 07, 2024
630 WHITTIER AVE, HIGH POINT, NC 27262(336) 888-6760 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2025, Aug 7, 2024 (2 updates tracked since 2024).

About Providence Place, Llc NPPES

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

PROVIDENCE PLACE, LLC (NPI 1063242568) is a healthcare organization registered as an assisted living facility in High Point, North Carolina and active in the NPI registry since August 2024. The organization lists Lee B Syria, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1063242568
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePROVIDENCE PLACE, LLC
Location Address630 WHITTIER AVEHigh Point, NC 27262-8049
Mailing Address100 Leonard AveNewton, NC 28658-9649 · (828) 464-8264
Organization SubpartNo
Authorized OfficialLee B SyriaPresident And Ceo · (828) 465-8019
Enumeration DateAugust 7, 2024
Last NPPES UpdateMarch 14, 20252 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
NPI 1063242568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
630 WHITTIER AVE, High Point, NC 27262

Other Names 1

Other NameWestchester Harbour At Providence Place

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
630 WHITTIER AVE
HIGH POINT, NC 27262

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 Providence Place, LLC's NPI number?

The NPI number for Providence Place, LLC is 1063242568. It was assigned to this organization in the NPPES registry on August 7, 2024. The provider is also known as Westchester Harbour at Providence Place.

Where is Providence Place, LLC located?

Providence Place, LLC is located at 630 Whittier Ave, High Point, NC 27262. The listed phone number is (336) 888-6760.

What is Providence Place, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Providence Place, LLC was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.