DIVINE PROVIDENCE VILLAGE


Address: 208 Broomall St, Folsom, PA 19033-2714
Phone: 6105433380

DIVINE PROVIDENCE VILLAGE (NPI# 1003281825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003281825
Entity Type Organization
Organization Name DIVINE PROVIDENCE VILLAGE
Practice Address 208 Broomall St
Folsom
PA 19033-2714
Mailing Address 686 Old Marple Rd
Springfield
PA 19064-1239
Practice Telephone 6105433380
Mailing Telephone 6103287730
Enumeration Date 2015-12-04
Last Update Date 2015-12-04
Authorized Official Name MR. FRAN SWIACKI (DIVISIONAL DIRECTOR)
Authorized Official Telephone 6105433380
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1699130237 Divine Providence Village Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 19 James Rd, Broomall, PA 19008-1409 2015-12-28
1235594870 Divine Providence Village Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8 Hinkson Blvd, Ridley Park, PA 19078-1828 2015-12-28
1144685785 Divine Providence Village Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 58 Shelburne Rd, Springfield, PA 19064-2206 2015-12-28
1598120131 Divine Providence Village Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 708 Bullock Ave, Yeadon, PA 19050-3501 2015-12-28
1780049320 Divine Providence Village Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 215 Fairlamb Ave, Havertown, PA 19083-2822 2015-12-28
1871958413 Divine Providence Village Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 33 S Madison Ave, Upper Darby, PA 19082-2818 2015-12-28
1154786796 Divine Providence Village Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 202 E Maryland Ave, Aldan, PA 19018-3117 2015-12-28
1053776690 Divine Providence Village Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1712 Shallcross Ave, Folcroft, PA 19032-1225 2015-12-28
1811352701 Divine Providence Village Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 41 Media Line Rd, Apt. A-2, Broomall, PA 19008-1246 2015-12-21
1629433511 Divine Providence Village Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 410 E Hinckley Ave, Apt. A-6, Ridley Park, PA 19078-2521 2015-12-21

Office Location

Street Address 208 BROOMALL ST
City FOLSOM
State PA
Zip Code 19033-2714

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467917716 Senior Services Management Group Inc. Home Delivered Meals 600 Swarthmore Avenue, Folsom, PA 19033 2019-01-31
1376055780 Brittany Jeanette Pettit Military Health Care Provider 400 Milmont Ave, Milmont Park, PA 19033 2017-10-26
1922415645 Ashley Jane Lee Dietitian, Registered 111 Macdade Blvd Apt B15, Folsom, PA 19033 2014-07-15
1609011956 Reliant Home Health Agency, Inc. Home Health 1401 E Macdade Blvd., Folsom, PA 19033 2008-12-15
1053466730 For Eyes Optical of Pa Eyewear Supplier (Equipment, not the service) 601 Macdade Blvd, Milmont Park, PA 19033 2007-01-24
1558413492 Cynthia A Sacharok Family Medicine 500 Macdade Blvd, Milmont Park, PA 19033 2007-01-18
1144309675 Bruce Allen Eppler Chiropractor 906 Macdade Blvd, Folsom, PA 19033 2006-11-03
1154359057 John R Ferrari Optometrist 145 Macdade Blvd, Folsom, PA 19033 2006-06-29
1780624973 Acme Markets Inc Durable Medical Equipment & Medical Supplies 124 Morton Ave, Folsom, PA 19033 2006-06-07
1881696102 Douglas J Farrell Podiatrist 550 Macdade Blvd, Folsom, PA 19033 2005-06-01
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306364773 Elwyn New Jersey Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2404 4th Road, Folsom, NJ 08037 2017-09-06
1376070003 Elwyn New Jersey Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1204 11th Street, Folsom, NJ 08037 2017-05-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356940183 Kenccid Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9350 Ashton Rd Rm 202, Philadelphia, PA 19114-7402 2020-10-22
1952908618 Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 604 Glen Circle Dr, Tobyhanna, PA 18466-8300 2020-10-06
1598375305 Impactful Human Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1055 Westlakes Dr Ste 3003, Berwyn, PA 19312-2410 2020-08-06
1356969679 Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 100 Genuardi Circle, West Chester, PA 19380 2020-07-13
1437775442 The Arc of Crawford County, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 222 Chestnut St, Meadville, PA 16335-3407 2020-06-25
1568094142 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1768 Mcdonough Ave, Scranton, PA 18508-1566 2020-02-11
1114559267 Keystone Community Resources, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 336 Sheridan Ave, Clarks Summit, PA 18411-1458 2020-02-06
1619507332 Above & Beyond Berks LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1007 Saylor Dr, Temple, PA 19560-9587 2020-01-22
1700425287 The Devereux Foundation Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 639 N South Turnpike Rd, Newfoundland, PA 18445-5032 2019-12-31
1891331120 Gifted Hands Home Care Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1853 William Penn Way Ste 13, Lancaster, PA 17601-6713 2019-11-21
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City FOLSOM
Zip Code 19033

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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