DIVINE PROVIDENCE VILLAGE (NPI# 1346367059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346367059 |
| Entity Type | Organization |
| Organization Name | DIVINE PROVIDENCE VILLAGE |
| Practice Address |
1600 Elmwood Ave Folcroft PA 19032-1220 |
| Mailing Address |
686 Old Marple Rd Springfield PA 19064-1239 |
| Practice Telephone | 6105435410 |
| Practice Fax Number | 6105435397 |
| Mailing Telephone | 6103287730 |
| Mailing Fax Number | 6105441710 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2015-11-13 |
| Authorized Official Name | MR. FRAN SWIACKI (DIVISIONAL DIRECTOR) |
| Authorized Official Telephone | 6105433380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000031590065 | 05 |
| 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 |
1600 ELMWOOD AVE |
| City | FOLCROFT |
| State | PA |
| Zip Code | 19032-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326165911 | Divine Providence Village | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1600 Elmwood Ave, Folcroft, PA 19032-1220 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225183460 | 1934 Delmar Pharmacy Incorporated | Pharmacy | 1934 Delmar, Pharmacy, Folcroft, PA 19032 | 2007-01-25 |
| 1649214693 | Rg Respiratory, Inc. | Durable Medical Equipment & Medical Supplies | Darby Commons- Hamilton Bldg #116, Folcroft West Business Park, Folcroft, PA 19032 | 2006-06-16 |
| 1861475758 | Joseph Onishchuk | Anesthesiology | 2010 Old W Chester Pike, Suite 330, Havertown, PA 19032 | 2005-11-23 |
| 1447341086 | Jacquelyn L Wilson | Nurse Anesthetist, Certified Registered | 58 King Ave, Folcroft, PA 19032-1022 | 2006-09-27 |
| 1104476050 | Loving Embraces LLC | In Home Supportive Care | 1506 Llanwellyn Ave, Folcroft, PA 19032-1024 | 2019-09-12 |
| 1790273555 | Kendra Childs | Counselor | 1528 Elmwood Ave Apt 201, Folcroft, PA 19032-1109 | 2018-04-27 |
| 1013483411 | A-1 Care Coordination LLC | Case Management | 527b Ashland Ave, Folcroft, PA 19032-1204 | 2018-10-23 |
| 1023483575 | Carelink Community Support Services | Community/Behavioral Health | 409 Charmont Ave, Folcroft, PA 19032-1207 | 2015-12-09 |
| 1053776690 | Divine Providence Village | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1712 Shallcross Ave, Folcroft, PA 19032-1225 | 2015-12-28 |
| 1396970570 | Grace Uzochukwu | Nurse Practitioner | 532 Folcroft Ave, Folcroft, PA 19032-1309 | 2009-05-18 |
| Find all providers in zip 19032 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028860 | Woods Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Lakeshore Drive, Langhorne, PA 19047-1616 | 2018-10-01 |
| 1861971665 | Woods Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Woodlands Drive, Langhorne, PA 19047-1616 | 2018-08-13 |
| 1487133286 | Woods Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 19 Sandalwood Circle, Langhorne, PA 19047-1616 | 2018-08-13 |
| 1821592270 | Woods Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 357 Roebling Drive, Langhorne, PA 19047-1616 | 2018-03-21 |
| 1184127722 | Woods Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 17 Woodlands Drive, Langhorne, PA 19047 | 2018-03-09 |
| 1235632977 | Woods Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 84 Buttonwood Drive, Langhorne, PA 19047-0036 | 2018-03-08 |
| 1518407519 | Forget Me Knot Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 2321 N Broad Street, Philadelphia, PA 19132 | 2017-02-24 |
| 1295286615 | Chor Youth and Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 1023 Pear Street, Reading, PA 19601 | 2016-10-20 |
| 1639622681 | Cosmological LLC | Residential Treatment Facility, Emotionally Disturbed Children | 5746 N 19th St, Philadelphia, PA 19141-1204 | 2016-07-26 |
| 1184073645 | New Beginings LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2732 N 22nd St, Philadelphia, PA 19132-2601 | 2016-06-06 |
| Find all providers with the same taxonomy | ||||
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| 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.