Organization
Providence Place LLC
Provider's NPPES record last updated: August 31, 2022
Overview
- Entity Type
- Organization
- NPI
- 1063132876
- Primary Specialty
- Assisted Living Facility
- Practice Location
- Jesup, Georgia
- Organization Subpart
- Yes
- Parent Organization
- Providence Place LLC
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 4:07 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Assisted Living Facility
Nursing & Custodial Care Facilities
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.
Taxonomy code 310400000X Day Training, Developmentally Disabled Services
Agencies
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Taxonomy code 251C00000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Residential Treatment Facilities
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Taxonomy code 320600000X
Practice Locations
Practice Location
249 Joe Naia Rd
Jesup, Georgia 31545-4112
Phone: (912) 415-1313
Other Names
- Cotton Grove EstateReported August 31, 2022
Record Information
- Enumeration Date
- August 31, 2022
- Provider's NPPES Record Last Updated
- August 31, 2022
- Certification Date
- August 31, 2022
- NPISignal NPPES Dataset
- August 2026
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