Divine Providence Village in Media - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Divine Providence Village - NPI 1679692925
Divine Providence Village is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Media, 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 1679692925. The last update date is 2015-11-17.
Divine Providence Village's current location address is 441 Washington Ave, Media, Pennsylvania. You can contact this provider via phone number 6105435410 and fax number 6105435397. The mailing address for Divine Providence Village is 441 Washington Ave, Media, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Providence Village |
|---|---|
| Address | 441 Washington Ave, Media, 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 | 1679692925 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2015-11-17 |
Provider Mailing Address Detail
| Address | 441 Washington Ave |
|---|---|
| City | Media |
| State | Pennsylvania (PA) |
| Post Code | 190633923 |
| 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 |
|---|---|---|---|
| 1000031590079 | 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) 1679692925. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Divine Providence Village's facilities are situated?
The facilities of Divine Providence Village are physically located at the following address: 441 Washington Ave, Media, PA, 190633923.
What is the Divine Providence Village's area of specialization and corresponding taxonomy classification?
The Divine Providence Village's specialty field 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 specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1679692925 to Divine Providence Village?
The Divine Providence Village received its 1679692925 assignment from the Centers for Medicare & Medicaid Services on 2007-03-28.
As of what date were the details related to Divine Providence Village most recently updated or revised?
The information pertaining to Divine Providence Village, including its address, specialty, and other relevant details, was last updated or revised on 2015-11-17.