DEVEREUX CIDDS DONOVAN NPI 1073940177

NPI Information

  • NPI: 1073940177
  • Provider Name: DEVEREUX CIDDS DONOVAN
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Other Name: DEVEREUX FOUNDATION
  • Address: 390 E BOOT RD
    102 GENUARDI CIRCLE
    WEST CHESTER, PA
    ZIP 19380
  • Phone: (610) 431-8100

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NPI Details

DEVEREUX CIDDS DONOVAN is a residential treatment facility emotionally disturbed children in West Chester, PA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. DEVEREUX CIDDS DONOVAN NPI is 1073940177. The provider is registered as an organization entity type.
The provider Other Name Is Devereux Foundation.

The provider's business location address is:

390 E BOOT RD
102 GENUARDI CIRCLE
WEST CHESTER, PA
ZIP 19380-222
Phone: (610) 431-8100

The provider's authorized official is Fran Wagner .
The authorized official title is National Director Of Accounts Recei and has the following contact phone number (610) 542-3084.

The enumeration date for this NPI number is 10/3/2013 and was last updated on 10/3/2013.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children132890PENNSYLVANIAYes

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
11000019130621MEDICAIDPENNSYLVANIA
21000019130725MEDICAIDPENNSYLVANIA

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: 11/21/2025

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