# PROVIDENCE PLACE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Westchester Manor at Providence Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700616208
- **Authorized official:** LEE B SYRIA (PRESIDENT/CEO)
- **Authorized official phone:** (828) 465-8019

## Contact information

- **Practice address:** 1795 WESTCHESTER DR, HIGH POINT, NC 27262-7008
- **Practice address phone:** (828) 464-8264
- **Mailing address:** 100 LEONARD AVE, NEWTON, NC 28658-9649
- **Mailing address phone:** (828) 464-8264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/07/2024
- **Last updated:** 10/21/2025