Divine Providence Village in Springfield - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Divine Providence Village - NPI 1669599874
Divine Providence Village is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Springfield, Pennsylvania. Divine Providence Village practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Divine Providence Village is 1669599874. The last update date is 2020-08-22.
Divine Providence Village's current location address is 686 Old Marple Rd, Springfield, Pennsylvania. You can contact this provider via phone number 6103287730 and fax number 6105441710. The mailing address for Divine Providence Village is 686 Old Marple Rd, Springfield, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Providence Village |
|---|---|
| Address | 686 Old Marple Rd, Springfield, Pennsylvania |
| Phone Number | 6103287730 |
| Fax Number | 6105441710 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR, |
|---|---|
| Authorized Official Name | Fitzgerald E Mark |
| Credentials | NHA, MSW |
| Telephone Number | 6105436602 |
NPI Number Detail
| NPI Number | 1669599874 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 686 Old Marple Rd |
|---|---|
| City | Springfield |
| State | Pennsylvania (PA) |
| Post Code | 190641239 |
| Phone Number | 6103287730 |
| Fax Number | 6105441710 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000031590003 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Divine Providence Village by the Centers for Medicare & Medicaid Services (CMS)?
The Divine Providence Village has been assigned the NPI (National Provider Identifier) 1669599874. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Divine Providence Village's physical address?
The Divine Providence Village is physically located at 686 Old Marple Rd, in the city of Springfield, PA, with the postal code 190641239.
What is Divine Providence Village's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Divine Providence Village is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320600000X.
On what date did the Divine Providence Village receive the assignment of its 1669599874 from the Centers for Medicare & Medicaid Services?
The Divine Providence Village was issued its 1669599874 by the Centers for Medicare & Medicaid Services on 2007-03-23.
When was the information regarding Divine Providence Village most recently updated?
The details pertaining to the Divine Providence Village, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.