Divine Providence Village in Philadelphia - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Divine Providence Village - NPI 1457470874
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 1457470874. The last update date is 2015-11-16.
Divine Providence Village's current location address is 4545 Oakmont St, Philadelphia, Pennsylvania. You can contact this provider via phone number 6105435410 and fax number 6105435397. The mailing address for Divine Providence Village is 4545 Oakmont St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Providence Village |
|---|---|
| Address | 4545 Oakmont St, 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 | 1457470874 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2015-11-16 |
Provider Mailing Address Detail
| Address | 4545 Oakmont St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191363703 |
| 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 |
|---|---|---|---|
| 1000031590114 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Divine Providence Village by the Centers for Medicare & Medicaid Services?
The Divine Providence Village has been assigned the NPI (National Provider Identifier) 1457470874. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
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: 4545 Oakmont St, Philadelphia, PA, 191363703.
What is Divine Providence Village's area of expertise and its corresponding taxonomy classification?
The Divine Providence Village's field of specialization 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 areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1457470874 to Divine Providence Village?
The Centers for Medicare & Medicaid Services assigned the 1457470874 to Divine Providence Village on 2007-03-28.
As of what date were the details pertaining to Divine Providence Village last refreshed?
The information related to the Divine Providence Village, including its address, specialty, and other relevant details, was last updated on 2015-11-16.