Organization Active NPI

Providence Senior Living Inc

  • Assisted Living Facility
  • Raleigh, NC
National Provider Identifier
1285510594
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PROVIDENCE SENIOR LIVING INC
Practice address
3948 Browning PL Ste 101
Raleigh, NC 27609-6512
Phone
(919) 523-5749
NPI assigned
Aug 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ifeoma Ben-OkororieNPI 1437751682
Title
Owner
Phone
(919) 523-5749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3948 Browning PL Ste 101
Raleigh, NC 27609-6512

Mailing address

3948 Browning PL Ste 101
Raleigh, NC 27609-6512

National Provider Directory

National Provider Directory

Locations

3948 Browning Pl
Ste 101
Raleigh, NC 27609
Phone (919) 523-5749

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1285510594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 BROWNING PL STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 BROWNING PL STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096512",
            "telephone_number": "919-523-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE SENIOR LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "BEN-OKORORIE",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-523-5749"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.