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DIVINE PROVIDENCE VILLAGE NPI 1669599874


NPI Information

NPI: 1669599874
Provider Name: DIVINE PROVIDENCE VILLAGE

Other Name: DPV RESPITE

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
686 OLD MARPLE RD
SPRINGFIELD, PA
ZIP 19064
Phone: (610) 328-7730
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DIVINE PROVIDENCE VILLAGE is a residential treatment facility, intellectual and/or developmental disabilities in Springfield, PA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. DIVINE PROVIDENCE VILLAGE NPI is 1669599874. The provider is registered as an organization entity type.
The provider Other Name Is Dpv Respite.

The provider's business location address is:

686 OLD MARPLE RD
SPRINGFIELD, PA
ZIP 19064-239
Phone: (610) 328-7730
Fax: (610) 544-1710

The provider's authorized official is Mark E Fitzgerald .
The authorized official title is Director, Mr Services and has the following contact phone number (610) 543-6602.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11000031590003MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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