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PROVIDENCE PLACE, INC
NPI 1801064118
Intermediate Care Facility, Intellectual Disabilities in Durham, NC

Active since February 20, 2008
916 CLAYTON RD, DURHAM, NC 27703(919) 767-9037(919) 767-9037 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Place, Inc NPPES

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

PROVIDENCE PLACE, INC (NPI 1801064118), doing business as Providence Place Family Care Home, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Durham, North Carolina and active in the NPI registry since February 2008. The organization lists Moses Oladapo Olanrewaju, Ceo/administrator, as its authorized official.

NPPES Registry Identity

NPI1801064118
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePROVIDENCE PLACE, INC
Location Address916 CLAYTON RDDurham, NC 27703-2608
Mailing Address156 Wolfsnare LnMorrisville, NC 27560-7061 · (919) 650-1725 · Fax (919) 767-9137
Phone(919) 767-9037
Fax(919) 767-9037
Organization SubpartNo
Authorized OfficialMoses Oladapo OlanrewajuCeo/administrator · (919) 767-9037
Enumeration DateFebruary 20, 2008
✔ NPI 1801064118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in NC · MHL-032-422
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
916 CLAYTON RD, Durham, NC 27703
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Other Names 1

Former Legal Business NameProvidence Place Family Care Home

Other Providers at the Same Location NPPES 2

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

PROVIDENCE PLACE, INC.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
916 CLAYTON RD
DURHAM, NC 27703
Durham County (919) 767-9037
HADRIAN HOUSE INC
Assisted Living Facility
916 CLAYTON RD
DURHAM, NC 27703
Durham County (984) 329-7869

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, Inc's NPI number?

The NPI number for Providence Place, Inc is 1801064118. It was assigned to this organization in the NPPES registry on February 20, 2008. The provider was formerly known as Providence Place Family Care Home.

Where is Providence Place, Inc located?

Providence Place, Inc is located at 916 Clayton Rd, Durham, NC 27703. The listed phone number is (919) 767-9037.

What is Providence Place, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Providence Place, Inc was last updated on February 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.