DIVINE PROVIDENCE VILLAGE (NPI# 1760500722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760500722 |
| Entity Type | Organization |
| Organization Name | DIVINE PROVIDENCE VILLAGE |
| Practice Address |
306 Rolling Green Ave New Castle DE 19720-4795 |
| 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 | 2007-03-27 |
| Last Update Date | 2015-11-17 |
| 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 | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| 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 |
306 ROLLING GREEN AVE |
| City | NEW CASTLE |
| State | DE |
| Zip Code | 19720-4795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447804992 | Lauren Ann Sokolnicki | Behavioral Analyst | 11 Fantail Ct, New Castle, DE 19720 | 2019-08-01 |
| 1376100834 | Stewart M Campbell | Student in an Organized Health Care Education/Training Program | 1901 N. Dupont Highway, Springer Building, New Castle, DE 19720 | 2019-05-21 |
| 1780142307 | Joseph Vincent Nepi Jr. | Specialist/Technologist | 116 W 8th St, New Castle, DE 19720 | 2019-03-04 |
| 1730662933 | Delaware Adult Daycare LLC | Clinic/Center | 28 Parkway Circle, New Castle, DE 19720 | 2018-09-13 |
| 1275014367 | The Life Center Complex, Inc. | Clinic/Center | 795 Cox Neck Rd, New Castle, DE 19720 | 2018-08-27 |
| 1609305051 | Susan Lydia Brown | Massage Therapist | 25 Jay Drive, New Castle, DE 19720 | 2017-06-08 |
| 1609323211 | Deirdre Smith | Speech-Language Pathologist | 61 Corporate Circle, Easter Seals De & Md, New Castle, DE 19720 | 2016-09-01 |
| 1528515145 | Meghna Jipson | Nurse Anesthetist, Certified Registered | 2 Reads Way, Suite 201, Newcastle, DE 19720 | 2016-09-01 |
| 1194170522 | Kelly Groff | Registered Nurse | 301 E Basin Rd, New Castle, DE 19720 | 2016-05-04 |
| 1891157699 | Salman N. Salaria | Psychiatry & Neurology | 1901 North Dupont Highway, Delaware Psychiatric Center, New Castle, DE 19720 | 2016-03-22 |
| Find all providers in zip 19720 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384204 | Devoted Homecare Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Coralberry Dr, Newark, DE 19702-3928 | 2020-10-26 |
| 1588164164 | G&j Quality Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 615 W 5th St, Wilmington, DE 19801-2007 | 2018-02-20 |
| 1861853012 | Tobola Health Care Services Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 618 Nesting Ln, Middletown, DE 19709-6124 | 2016-03-16 |
| 1538531637 | Tanya Gibbs | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19347 Beaver Dam Rd, Lewes, DE 19958-5539 | 2015-10-28 |
| 1144658303 | Bear Health Care Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 706 Glendriff Dr, Bear, DE 19701-1990 | 2013-10-28 |
| 1689859423 | Skylimit Health,inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Falkirk Ct, Newark, DE 19702-2060 | 2007-12-28 |
| 1326179714 | Resources for Human Development | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 Stature Dr, Newark, DE 19713-3562 | 2007-03-08 |
| 1578039541 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 N West St Ste 1200, Wilmington, DE 19801-1058 | 2018-10-17 |
| 1225533003 | Sharon Harris | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Haggis Rd, Middletown, DE 19709-8750 | 2018-03-26 |
| 1437558194 | Advoserv Nj, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2520 Wrangle Hill Rd, Suite 200, Bear, DE 19701-3849 | 2014-08-19 |
| Find all providers with the same taxonomy | ||||
| City | NEW CASTLE |
| Zip Code | 19720 |
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.