Organization · Type 2 NPI

Providence Place, LLC

Assisted Living Facility · High Point, NC

NPI number 1063242568 Active

Practice location

630 Whittier Ave
High Point, NC 27262-8049

Call (336) 888-6760 Map

Mailing address

100 Leonard Ave
Newton, NC 28658-9649

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

Assisted Living Facility: 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.

Another provider at this address

Kim Weldon Idol, PTPhysical Therapist High Point, NC NPI 1407001761

Other assisted living facility providers in High Point

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NPI record

NPI: 1063242568
Entity type: Organization (Type 2)
Issued: Aug 7, 2024
Last updated: Mar 14, 2025
Status: Active

Other names

<unavail>
Westchester Harbour at Providence Place · other name
Westchester Harbour at Providence Place · other name

Authorized official

Lee B Syria
President and CEO
(828) 465-8019

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063242568

Providence Place, LLC's National Provider Identifier is 1063242568, issued on Aug 7, 2024. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in High Point, NC. The record was last updated on Mar 14, 2025.