Providence Corporation

LBN: Providence Corporation
Providence Corporation is an health care organization with primary practice located at 7928 Ridge Ave First Floor, Philadelphia PA 19128-3011. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty. Providence Corporation can be contacted via phone (484) 746-0064, or through Berry, Elvira N via phone (484) 746-0064.

Contact Information

Primary practice address
7928 Ridge Ave First Floor Philadelphia PA 19128-3011
Phone: (484) 746-0064
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berry, Elvira N JD
Phone: (484) 746-0064

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X CER-00092467 Pennsylvania
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X CER-00092467 Pennsylvania
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X CER-00092467 Pennsylvania

Profile Details

NPI number 1518320373
LBN Legal business name Providence Corporation
DBA Doing business as
Authorized official Berry, Elvira N JD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2016
Last updated May 26th, 2016 - about 9 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.

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