DIVINE PROVIDENCE HEALTHCARE, LLC
NPI 1083478325
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Philadelphia, PA
- Organization
- Community Based Residential Treatment Fa...
About DIVINE PROVIDENCE HEALTHCARE, LLC
This page provides the complete NPI Profile along with additional information for Divine Providence Healthcare, Llc, a provider established in Philadelphia, Pennsylvania operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1083478325 assigned on February 2024. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Benjamin Nwanonenyi (Ceo)
- NPI
- 1083478325 Verify this NPI
- Provider Name
- DIVINE PROVIDENCE HEALTHCARE, LLC
- Entity Type
- Organization
- Location Address
- 515 W GIRARD AVE PHILADELPHIA, PA 19123
- Location Phone
- (215) 954-7181
- Mailing Address
- 515 W GIRARD AVE APT 1 PHILADELPHIA, PA 19123
- Mailing Phone
- (215) 954-7181
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-07-2024
- Last Update Date
- 02-07-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083478325, enumerated as an "organization" on February 07, 2024.
The provider is located at 515 W GIRARD AVE PHILADELPHIA, PA 19123 and the phone number is (215) 954-7181.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
