Divine Providence Village in Philadelphia - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Divine Providence Village - NPI 1588781157
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 1588781157. The last update date is 2015-11-12.
Divine Providence Village's current location address is 5625 Arlington St, Philadelphia, Pennsylvania. You can contact this provider via phone number 6105435410 and fax number 6105435397. The mailing address for Divine Providence Village is 5625 Arlington St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Providence Village |
|---|---|
| Address | 5625 Arlington 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 | 1588781157 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2015-11-12 |
Provider Mailing Address Detail
| Address | 5625 Arlington St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191313116 |
| 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 |
|---|---|---|---|
| 1000031590118 | 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) 1588781157. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Divine Providence Village is physically located?
The Divine Providence Village is situated at the following address: 5625 Arlington St, Philadelphia, PA 191313116.
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 originally issue the 1588781157 to Divine Providence Village?
The Centers for Medicare & Medicaid Services originally issued the 1588781157 to Divine Providence Village 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 2015-11-12.