Divine Providence Village in Havertown - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Divine Providence Village - NPI 1528187127
Divine Providence Village is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Havertown, 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 1528187127. The last update date is 2015-11-17.
Divine Providence Village's current location address is 317 Walnut Hill Ln, Havertown, Pennsylvania. You can contact this provider via phone number 6105435410 and fax number 6105435397. The mailing address for Divine Providence Village is 317 Walnut Hill Ln, Havertown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Providence Village |
|---|---|
| Address | 317 Walnut Hill Ln, Havertown, 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 | 1528187127 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2015-11-17 |
Provider Mailing Address Detail
| Address | 317 Walnut Hill Ln |
|---|---|
| City | Havertown |
| State | Pennsylvania (PA) |
| Post Code | 190832707 |
| 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 |
|---|---|---|---|
| 1000031590124 | PA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Divine Providence Village by the Centers for Medicare & Medicaid Services?
The Divine Providence Village has been issued the NPI (National Provider Identifier) 1528187127. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Divine Providence Village?
The Divine Providence Village is situated at 317 Walnut Hill Ln, in the city of Havertown, state of PA, with the zip code 190832707.
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 Centers for Medicare & Medicaid Services assign the 1528187127 to Divine Providence Village?
The Centers for Medicare & Medicaid Services assigned the 1528187127 to Divine Providence Village 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.
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