Providence Place, Inc.
NPI 1558411942 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Durham, NC
Providence Place, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Durham, NC (NPI 1558411942).
Provider details
- NPI number
- 1558411942
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Moses Olanrewaju, President(919) 767-9037
- License
- MHL-032-422 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL-032-422 (NC)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2008-02-15
Frequently asked questions
- What is Providence Place, Inc.'s NPI number?
- Providence Place, Inc.'s National Provider Identifier (NPI) is 1558411942, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Place, Inc.?
- Providence Place, Inc. is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Providence Place, Inc. located?
- Providence Place, Inc.'s practice location on file with NPPES is 916 Clayton Rd, Durham, NC 27703-2608.
- What is Providence Place, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Providence Place, Inc. is (919) 767-9037.
- Who is the authorized official for Providence Place, Inc.?
- The authorized official listed on Providence Place, Inc.'s NPPES record is Moses Olanrewaju, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Place, Inc.'s NPI active?
- Yes — Providence Place, Inc.'s NPI (1558411942) is active in the NPPES registry as of the last update on 2008-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.