DIVINE PROVIDENCE VILLAGE (NPI# 1669599874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669599874 |
| Entity Type | Organization |
| Organization Name | DIVINE PROVIDENCE VILLAGE |
| Other Organization Name | DPV RESPITE |
| Practice Address |
686 Old Marple Rd Springfield PA 19064-1239 |
| Practice Telephone | 6103287730 |
| Practice Fax Number | 6105441710 |
| Mailing Telephone | 6103287730 |
| Mailing Fax Number | 6105441710 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARK E FITZGERALD (DIRECTOR, MR SERVICES) |
| Authorized Official Telephone | 6105436602 |
| Authorized Official Credential | NHA, MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000031590003 | 05 |
| Other Name | Type Code |
|---|---|
| DPV Respite | Other Name - Individual/Organization |
| 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 |
| Street Address |
686 OLD MARPLE RD |
| City | SPRINGFIELD |
| State | PA |
| Zip Code | 19064-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922125335 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 686 Old Marple Rd, Springfield, PA 19064-1239 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023513058 | Prospect Crozer Home Health and Hospice, LLC | Hospice Care, Community Based | 200 W. Sroul Road, Springfield, PA 19064 | 2018-03-30 |
| 1912369539 | Olga Burt | Physical Therapy Assistant | 146 Rose Lane, Springfield, PA 19064 | 2016-03-23 |
| 1124407309 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1745 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1477932655 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1755 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1003295288 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1765 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1427483742 | Casseys Optical Inc | Durable Medical Equipment & Medical Supplies | 139 S State Road, Springfield, PA 19064 | 2013-09-05 |
| 1184982225 | Ultimate Hearing Solutions II, LLC | Audiologist-Hearing Aid Fitter | 471 Baltimore Pike, Springfield, PA 19064 | 2012-04-26 |
| 1295091684 | Theresa Nolan | Registered Nurse | 194 West Sprould Road, Suite 105, Springfield, PA 19064 | 2012-04-10 |
| 1649551367 | Pa Center for Hearing and Balance, LLC | Hearing Aid Equipment | 760 W Sproul Road, Suite 103, Springfield, PA 19064 | 2011-09-08 |
| 1376864694 | Cynthia Lacapra | Family Medicine | 965 Baltimore Pike Ste B2, Springfield, PA 19064 | 2010-06-22 |
| Find all providers in zip 19064 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427687441 | Nothing Like Home Health Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1024, Springfield, MO 65806-1110 | 2020-04-02 |
| 1790332971 | Jennifer Foundation Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8815 Victoria Rd, Springfield, VA 22151-1132 | 2019-08-21 |
| 1427618255 | Providence Healthcare Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8009 Gosport Ln, Springfield, VA 22151-2008 | 2019-06-14 |
| 1851958847 | Jireh Healthcare Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5780 Heming Ave, Springfield, VA 22151-2715 | 2019-05-24 |
| 1205395894 | Happy Home Care Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8434 Thames St, Springfield, VA 22151-1517 | 2019-03-14 |
| 1891994893 | Department of Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 100 S Grand Ave E, Federal Reporting Unit, Springfield, IL 62704-3802 | 2007-07-11 |
| 1942419296 | The Arc of The Ozarks | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 930 E Norton Rd, Springfield, MO 65803-3648 | 2007-05-22 |
| 1033328380 | The Arc of The Ozarks | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 651 W Nichols St, Springfield, MO 65802-3951 | 2007-05-22 |
| 1760691018 | The Arc of The Ozarks | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1470 N Sherman Ave, Springfield, MO 65802-2054 | 2007-05-22 |
| 1780892984 | The Arc of The Ozarks | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 930 W Madison St, Springfield, MO 65806-2828 | 2007-05-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 19064 |
Please comment or provide details below to improve the information on DIVINE PROVIDENCE VILLAGE.
| 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.