DIVINE PROVIDENCE HEALTHCARE LLC NPI 1083478325

NPI Information

NPI: 1083478325
Provider Name: DIVINE PROVIDENCE HEALTHCARE, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
515 W GIRARD AVE
PHILADELPHIA, PA
ZIP 19123
Phone: (215) 954-7181
Get Directions

DIVINE PROVIDENCE HEALTHCARE, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Philadelphia, PA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. DIVINE PROVIDENCE HEALTHCARE, LLC NPI is 1083478325. The provider is registered as an organization entity type.

The provider's business location address is:

515 W GIRARD AVE
PHILADELPHIA, PA
ZIP 19123-461
Phone: (215) 954-7181

The provider's authorized official is Benjamin Nwanonenyi .
The authorized official title is Ceo and has the following contact phone number (215) 954-7181.

The enumeration date for this NPI number is 2/7/2024 and was last updated on 2/7/2024.

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
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »