Divine Providence Village in Philadelphia - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Divine Providence Village - NPI 1912026428
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 1912026428. The last update date is 2015-11-17.
Divine Providence Village's current location address is 444 W Winona St, Philadelphia, Pennsylvania. You can contact this provider via phone number 6105435410 and fax number 6105435397. The mailing address for Divine Providence Village is 444 W Winona St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Providence Village |
|---|---|
| Address | 444 W Winona 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 | 1912026428 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2015-11-17 |
Provider Mailing Address Detail
| Address | 444 W Winona St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191444508 |
| 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 |
|---|---|---|---|
| 1000031590062 | 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) 1912026428. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Divine Providence Village located?
The Divine Providence Village is located at 444 W Winona St, Philadelphia, PA 191444508.
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.
On what date was the 1912026428 assigned to Divine Providence Village?
The Divine Providence Village was issued its 1912026428 on 2007-03-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Divine Providence Village last refreshed?
The information related to the Divine Providence Village, including its address, specialty, and other relevant details, was last updated on 2015-11-17.
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