Divine Providence Village
LBN: Divine Providence Village
Divine Providence Village is an health care organization with primary practice located at 306 Maple Ave , Drexel Hill PA 19026-2906. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Divine Providence Village can be contacted via phone (610) 543-5410, or through Engel, Dawn via phone (610) 525-8800.
Contact Information
Primary practice address
306 Maple Ave
Drexel Hill PA 19026-2906
Phone: (610) 543-5410
Fax: (610) 543-5397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | Pennsylvania |
Profile Details
| NPI number | 1457470874 |
|---|---|
| LBN Legal business name | Divine Providence Village |
| DBA Doing business as | |
| Authorized official | Engel, Dawn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Apr 2nd, 2024 - about 8 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457470874 | NPPES |
| Pennsylvania | MEDICAID | 1000031590114 |
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