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PROVIDENTIAL FACILITY SERVICES, LLC
NPI 1144510157
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Greenville, NC

Active since April 11, 2011
611 FORD ST, GREENVILLE, NC 27834(252) 902-2617 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Providential Facility Services, Llc NPPES

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

PROVIDENTIAL FACILITY SERVICES, LLC (NPI 1144510157) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Greenville, North Carolina and active in the NPI registry since April 2011. The organization lists Joseph Coy Randolpf, Owner, as its authorized official.

NPPES Registry Identity

NPI1144510157
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NamePROVIDENTIAL FACILITY SERVICES, LLC
Location Address611 FORD STGreenville, NC 27834-2935
Mailing Address1714 Glenview DrGreenville, NC 27834-9680
Phone(252) 902-2617
Organization SubpartNo
Authorized OfficialJoseph Coy RandolpfOwner · (252) 902-2617
Enumeration DateApril 11, 2011
✔ NPI 1144510157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

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.

611 FORD ST, Greenville, NC 27834
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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 Providential Facility Services, LLC's NPI number?

The NPI number for Providential Facility Services, LLC is 1144510157. It was assigned to this organization in the NPPES registry on April 11, 2011.

Where is Providential Facility Services, LLC located?

Providential Facility Services, LLC is located at 611 Ford St, Greenville, NC 27834. The listed phone number is (252) 902-2617.

What is Providential Facility Services, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Providential Facility Services, LLC was last updated on April 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.