Dpv Respite

LBN: Divine Providence Village
Dpv Respite is an health care organization with primary practice located at 686 Old Marple Rd , Springfield PA 19064-1239. The organization recently has only one registered license in Residential Treatment Facilities / 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) 328-7730, or through Fitzgerald, Mark E via phone (610) 543-6602.

Contact Information

Primary practice address
686 Old Marple Rd Springfield PA 19064-1239
Phone: (610) 328-7730
Fax: (610) 544-1710
Website:
Map and Directions
Authorized official contact:
Name: Fitzgerald, Mark E NHA, MSW
Phone: (610) 543-6602

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Pennsylvania

Profile Details

NPI number 1669599874
LBN Legal business name Divine Providence Village
DBA Doing business as Dpv Respite
Authorized official Fitzgerald, Mark E NHA, MSW
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Aug 22nd, 2020 - about 5 years 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669599874 NPPES
Pennsylvania MEDICAID 1000031590003

Popular Providers