Divine Providence Village in Springfield - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Divine Providence Village - NPI 1912025768
Divine Providence Village is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Springfield, 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 1912025768. The last update date is 2015-11-16.
Divine Providence Village's current location address is 75 Meetinghouse Ln, Springfield, Pennsylvania. You can contact this provider via phone number 6105435410 and fax number 6105435397. The mailing address for Divine Providence Village is 75 Meetinghouse Ln, Springfield, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Providence Village |
|---|---|
| Address | 75 Meetinghouse Ln, Springfield, 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 | 1912025768 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2015-11-16 |
Provider Mailing Address Detail
| Address | 75 Meetinghouse Ln |
|---|---|
| City | Springfield |
| State | Pennsylvania (PA) |
| Post Code | 190641205 |
| 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 |
|---|---|---|---|
| 1000031590121 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Divine Providence Village?
The Divine Providence Village has been issued the NPI (National Provider Identifier) 1912025768 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
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: 75 Meetinghouse Ln, Springfield, PA, 190641205.
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 Divine Providence Village receive its 1912025768 assignment from the Centers for Medicare & Medicaid Services?
The Divine Providence Village was assigned its 1912025768 on 2007-03-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
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 2015-11-16.
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