DEVEREUX FOUNDATION NPI 1831467158

NPI Information

NPI: 1831467158
Provider Name: DEVEREUX FOUNDATION

Other Name: CIDDS CORWEN TERRACE

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
225 CORWEN TER
WEST CHESTER, PA
ZIP 19380
Phone: (610) 431-8100
Get Directions

DEVEREUX FOUNDATION is a community based residential treatment facility, intellectual and/or developmental disabilities in West Chester, 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. DEVEREUX FOUNDATION NPI is 1831467158. The provider is registered as an organization entity type.
The provider Other Name Is Cidds Corwen Terrace.

The provider's business location address is:

225 CORWEN TER
WEST CHESTER, PA
ZIP 19380-145
Phone: (610) 431-8100
Fax: (610) 431-3155

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

The enumeration date for this NPI number is 12/1/2011 and was last updated on 12/1/2011.

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		111920	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	1000019130527	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: 5/5/2024

NPI Synchronization or Removal

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