Divine Providence Village in Philadelphia - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Divine Providence Village - NPI 1265551527
Divine Providence Village is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Philadelphia, 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 1265551527. The last update date is 2015-11-17.
Divine Providence Village's current location address is 5369 Wingohocking Hts, Philadelphia, Pennsylvania. You can contact this provider via phone number 6105435410 and fax number 6105435397. The mailing address for Divine Providence Village is 5369 Wingohocking Hts, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Providence Village |
|---|---|
| Address | 5369 Wingohocking Hts, Philadelphia, 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 | 1265551527 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2015-11-17 |
Provider Mailing Address Detail
| Address | 5369 Wingohocking Hts |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191445805 |
| 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 |
|---|---|---|---|
| 1000031590063 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Divine Providence Village?
The Divine Providence Village has been issued the NPI (National Provider Identifier) 1265551527 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Divine Providence Village is physically located?
The Divine Providence Village is physically situated at the following address: 5369 Wingohocking Hts, Philadelphia, PA, 191445805.
What is Divine Providence Village's specialized field of practice, and what is the corresponding taxonomy classification code?
The Divine Providence Village's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.
On what date did the Divine Providence Village receive the assignment of its 1265551527 from the Centers for Medicare & Medicaid Services?
The Divine Providence Village was issued its 1265551527 by the Centers for Medicare & Medicaid Services on 2007-03-28.
As of what date was the information regarding Divine Providence Village, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Divine Providence Village, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-11-17.