Divine Providence Village in Yeadon - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Divine Providence Village - NPI 1104943877
Divine Providence Village is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Yeadon, Pennsylvania. Divine Providence Village practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Divine Providence Village is 1104943877. The last update date is 2015-11-13.
Divine Providence Village's current location address is 800 Connell Ave, Yeadon, Pennsylvania. You can contact this provider via phone number 6105435410 and fax number 6105435397. The mailing address for Divine Providence Village is 800 Connell Ave, Yeadon, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Providence Village |
|---|---|
| Address | 800 Connell Ave, Yeadon, Pennsylvania |
| Phone Number | 6105435410 |
| Fax Number | 6105435397 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIVISIONAL |
|---|---|
| Authorized Official Name | Swiacki Fran |
| Telephone Number | 6105433380 |
NPI Number Detail
| NPI Number | 1104943877 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2015-11-13 |
Provider Mailing Address Detail
| Address | 800 Connell Ave |
|---|---|
| City | Yeadon |
| State | Pennsylvania (PA) |
| Post Code | 190503720 |
| Phone Number | 6105435410 |
| Fax Number | 6105435397 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000031590123 | PA | -- |
Post Comment/ Review Below
What is the Divine Providence Village's unique identification number?
The Divine Providence Village has been assigned the NPI (National Provider Identifier) Number 1104943877 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Divine Providence Village's physical address?
The Divine Providence Village is physically located at 800 Connell Ave, in the city of Yeadon, PA, with the postal code 190503720.
What is the Divine Providence Village's area of specialization and corresponding taxonomy classification?
The Divine Providence Village's specialty field is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their specialties.
On what date did the Divine Providence Village receive the assignment of its 1104943877 from the Centers for Medicare & Medicaid Services?
The Divine Providence Village was issued its 1104943877 by the Centers for Medicare & Medicaid Services on 2007-03-26.
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 2015-11-13.
NPI Number: 1912900101
Address: 901 Wallace Blvd, Amarillo, TX
NPI Number: 1134122377
Address: 1437 S. Belcher Road, Clearwater, FL
NPI Number: 1962405159
Address: 1151 Main Street, Swanquarter, NC
NPI Number: 1518960319
Address: 1655 Palm Beach Lakes Blvd Ste 300, West Palm Beach, FL
NPI Number: 1174526743
Address: 5711 S Dixie Hwy, South Miami, FL
NPI Number: 1952304511
Address: 623 Beechwood St, Jacksonville, FL
NPI Number: 1982607222
Address: 3455 Peachtree Industrial Blvd, Duluth, GA