DEVEREUX FOUNDATION NPI 1245371905

NPI Information

NPI: 1245371905
Provider Name: DEVEREUX FOUNDATION

Other Name: DEVEREUX WHITLOCK CENTER

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
806 MAPLE AVE
BERWYN, PA
ZIP 19312
Phone: (610) 296-6800
Get Directions

DEVEREUX FOUNDATION is an intermediate care facility mentally retarded in Berwyn, PA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. DEVEREUX FOUNDATION NPI is 1245371905. The provider is registered as an organization entity type.
The provider Other Name Is Devereux Whitlock Center.

The provider's business location address is:

806 MAPLE AVE
BERWYN, PA
ZIP 19312-726
Phone: (610) 296-6800
Fax: (610) 251-2013

The provider's authorized official is Fran Wagner .
The authorized official title is NATIONAL ACCTS REIVABLE DIRECTORDirector and has the following contact phone number (610) 542-3084.

The enumeration date for this NPI number is 2/8/2007 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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		504260	PENNSYLVANIA	Yes

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
1	1000019130350	MEDICAID	PENNSYLVANIA

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: 4/28/2024

NPI Synchronization or Removal

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