PROVIDENCE PLACE ASSISTED LIVING, INC. (NPI# 1538253307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538253307 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE PLACE ASSISTED LIVING, INC. |
| Other Organization Name | WESLEYAN ARMS, INC. |
| Practice Address |
630 Whittier Avenue High Point NC 27262-7602 |
| Mailing Address |
1701 Westchester Drive Suite 400 High Point NC 27262 |
| Practice Telephone | 3368886777 |
| Practice Fax Number | 3368884663 |
| Mailing Telephone | 3368884568 |
| Mailing Fax Number | 3368884663 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-03-16 |
| Authorized Official Name | THOMAS HIGGINS (PRESIDENT/CEO) |
| Authorized Official Telephone | 3368884568 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL041047 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7804713 | 05 |
| Other Name | Type Code |
|---|---|
| Wesleyan Arms, Inc. | Former Legal Business Name - Organization |
| Street Address |
630 WHITTIER AVENUE |
| City | HIGH POINT |
| State | NC |
| Zip Code | 27262-7602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623620 | Lane and Associates Xxxviii Dds Pa | Dentist | 101 Northpoint Avenue, High Point, NC 27262 | 2020-03-12 |
| 1043869936 | Norma Mechelle Cox | Technician | 1145 Hawick Dr, High Point, NC 27262 | 2019-09-04 |
| 1417514910 | Jennifer A. Loveland Dmd II Pllc | Dentist | 1007 Phillips Avenue, Suite 103, High Point, NC 27262 | 2019-05-21 |
| 1982175196 | World Relief Corp of National Association of Evangelicals | Marriage & Family Therapist | 155 Northpoint Avenue, Suite 102, High Point, NC 27262 | 2018-12-16 |
| 1538679907 | Zackary Daniel Rogers | Physician Assistant | 1814 Westchester Dr #301, High Point, NC 27262 | 2017-10-11 |
| 1184164162 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2005 N Main St., Suite 101, High Point, NC 27262 | 2017-02-24 |
| 1225483951 | Randall Godette | Physician Assistant | 611 Lindsay Street, High Point, NC 27262 | 2016-05-02 |
| 1336537356 | Optics, Inc. | Durable Medical Equipment & Medical Supplies | 1105 Lindsay Street, High Point, NC 27262 | 2014-12-29 |
| 1871902346 | Isha Bangura | Counselor | 910 Mill Ave., High Point, NC 27262 | 2014-08-08 |
| 1831478833 | Jenny Susan Mason | Specialist/Technologist | 922 West College Dr, High Point, NC 27262 | 2011-08-08 |
| Find all providers in zip 27262 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184771263 | Elm Villa | Assisted Living Facility | 1915 S Elm St, High Point, NC 27260-8806 | 2007-01-04 |
| 1174689483 | Southern Assisted Living, LLC. | Assisted Living Facility | 1560 Skeet Club Rd, High Point, NC 27265-9530 | 2006-12-29 |
| 1518023183 | Southern Assisted Living, LLC. | Assisted Living Facility | 201 W Hartley Dr, High Point, NC 27265-2843 | 2006-12-28 |
| 1972669547 | Southern Assisted Living, LLC. | Assisted Living Facility | 1568 Skeet Club Rd, High Point, NC 27265-9530 | 2006-12-28 |
| 1740345842 | Southern Assisted Living, LLC. | Assisted Living Facility | 1564 Skeet Club Rd, High Point, NC 27265-9530 | 2006-12-27 |
| 1932208550 | Southland Homes, Inc | Assisted Living Facility | 306 Oakview Road, High Point, NC 27265-2050 | 2006-09-21 |
| 1871875682 | Piedmont Christian Home | Assisted Living Facility | 1510 Deep River Rd, High Point, NC 27265-3448 | 2011-09-16 |
| 1073800421 | Monarch | Assisted Living Facility | 400 Dogwood Cir, High Point, NC 27260-2514 | 2011-07-06 |
| 1730476193 | Monarch | Assisted Living Facility | 3417 Corvair Dr, High Point, NC 27265-1809 | 2011-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689104 | B&b Assisted Living Care LLC | Assisted Living Facility | 9461 Us Hwy 710s, Rowland, NC 28383 | 2020-08-10 |
| 1306465745 | Cedar Senior Living, LLC. | Assisted Living Facility | 670 Cedar Lake Ln, Clinton, NC 28328-8986 | 2020-04-15 |
| 1003444258 | Trinity Developmental Center, LLC | Assisted Living Facility | 4027 Franklin Meadows Dr, Matthews, NC 28105-6935 | 2020-03-31 |
| 1114562147 | Taylor Care Group, LLC | Assisted Living Facility | 1188 Bertha Wilson Rd, Blanch, NC 27212-9795 | 2019-11-13 |
| 1710528377 | Grace Village Inc | Assisted Living Facility | 501 River Bend Dr., Granite Falls, NC 28630 | 2019-10-04 |
| 1336799246 | Tieshquanna Ciare Richardson | Assisted Living Facility | 312 Kilgo St, Clayton, NC 27520-1651 | 2019-09-13 |
| 1326695404 | Snh Nc Tenant LLC | Assisted Living Facility | 5920 Mcchesney Dr, Charlotte, NC 28269-6238 | 2019-08-22 |
| 1659928174 | Coastal Pointe Senior Living LLC | Assisted Living Facility | 5220 Ocean Hwy W, Shallotte, NC 28470-4006 | 2019-08-20 |
| 1861046674 | A1a-arc of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd, Dunn, NC 28334-6240 | 2019-07-30 |
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
| City | HIGH POINT |
| Zip Code | 27262 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.