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DIVINE PROVIDENCE VILLAGE
NPI 1073631933
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Lansdowne, PA

Active since March 27, 2007
422 BONSALL AVE, LANSDOWNE, PA 19050(610) 543-5410(610) 543-5397 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Divine Providence Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE PROVIDENCE VILLAGE (NPI 1073631933) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Lansdowne, Pennsylvania and active in the NPI registry since March 2007. The organization lists Dawn Engel, Hipaa Office, as its authorized official.

NPPES Registry Identity

NPI1073631933
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDIVINE PROVIDENCE VILLAGE
Location Address422 BONSALL AVELansdowne, PA 19050-3120
Mailing Address686 Old Marple RdSpringfield, PA 19064-1239 · (610) 328-7730 · Fax (610) 544-1710
Phone(610) 543-5410
Fax(610) 543-5397
Organization SubpartNo
Authorized OfficialDawn EngelHipaa Office · (610) 525-8800
Enumeration DateMarch 27, 2007
Last NPPES UpdateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
✔ NPI 1073631933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
422 BONSALL AVE, Lansdowne, PA 19050
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Other Identifiers 1

Medicaid1000031590077PA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Providence Village's NPI number?

The NPI number for Divine Providence Village is 1073631933. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Divine Providence Village located?

Divine Providence Village is located at 422 Bonsall Ave, Lansdowne, PA 19050. The listed phone number is (610) 543-5410.

What is Divine Providence Village's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Divine Providence Village was last updated on March 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.