Divine Providence Village in Philadelphia - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Divine Providence Village - NPI 1528185113
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 1528185113. The last update date is 2015-11-13.
Divine Providence Village's current location address is 308 Crest Park Rd, Philadelphia, Pennsylvania. You can contact this provider via phone number 6105435410 and fax number 6105435397. The mailing address for Divine Providence Village is 308 Crest Park Rd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Providence Village |
|---|---|
| Address | 308 Crest Park Rd, 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 | 1528185113 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2015-11-13 |
Provider Mailing Address Detail
| Address | 308 Crest Park Rd |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191191013 |
| 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 |
|---|---|---|---|
| 1000031590099 | 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 1528185113 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Divine Providence Village is located?
The Divine Providence Village is situated at the following address: 308 Crest Park Rd, Philadelphia, PA, 191191013.
What is the area of specialization for Divine Providence Village, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Divine Providence Village is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.
When did the Divine Providence Village receive its 1528185113?
The Divine Providence Village was issued its 1528185113 on 2007-03-26, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Divine Providence Village most recently updated or revised?
The details related to Divine Providence Village, including its address, specialty, and other relevant information, were last updated or revised on 2015-11-13.