Divine Providence Village in Folcroft - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Divine Providence Village - NPI 1326165911
Divine Providence Village is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Folcroft, 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 1326165911. The last update date is 2015-11-13.
Divine Providence Village's current location address is 1600 Elmwood Ave, Folcroft, Pennsylvania. You can contact this provider via phone number 6105435410 and fax number 6105435397. The mailing address for Divine Providence Village is 1600 Elmwood Ave, Folcroft, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Providence Village |
|---|---|
| Address | 1600 Elmwood Ave, Folcroft, 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 | 1326165911 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2015-11-13 |
Provider Mailing Address Detail
| Address | 1600 Elmwood Ave |
|---|---|
| City | Folcroft |
| State | Pennsylvania (PA) |
| Post Code | 190321220 |
| 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 |
|---|---|---|---|
| 1000031590111 | 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) 1326165911. 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 1600 Elmwood Ave, in the city of Folcroft, PA, with the postal code 190321220.
What is Divine Providence Village's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Divine Providence Village is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1326165911 to Divine Providence Village?
The Divine Providence Village received its 1326165911 assignment from the Centers for Medicare & Medicaid Services on 2007-03-26.
When was the information related to Divine Providence Village most recently updated or refreshed?
The details pertaining to the Divine Providence Village, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-11-13.
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