Divine Providence Village in Philadelphia - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Divine Providence Village - NPI 1952428617
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 1952428617. The last update date is 2015-11-13.
Divine Providence Village's current location address is 7115 Boyer St, Philadelphia, Pennsylvania. You can contact this provider via phone number 6105435410 and fax number 6105435397. The mailing address for Divine Providence Village is 7115 Boyer St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Providence Village |
|---|---|
| Address | 7115 Boyer 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 | 1952428617 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2015-11-13 |
Provider Mailing Address Detail
| Address | 7115 Boyer St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191191810 |
| 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 |
|---|---|---|---|
| 1000031590075 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Divine Providence Village by the Centers for Medicare & Medicaid Services?
The Divine Providence Village has been assigned the NPI (National Provider Identifier) 1952428617 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Divine Providence Village's facilities are geographically located?
The facilities of Divine Providence Village are physically situated at the following location: 7115 Boyer St, Philadelphia, PA, 191191810.
What is Divine Providence Village's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Divine Providence Village's specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.
On what date was the 1952428617 assigned to Divine Providence Village?
The Divine Providence Village was issued its 1952428617 on 2007-03-26, 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 Divine Providence Village's details last updated?
The information pertaining to the Divine Providence Village, including its address, specialty, and other details, was most recently updated on 2015-11-13.