DIVINE PROVIDENCE HEALTHCARE, LLC
NPI 1083478325
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Philadelphia, PA
About Divine Providence Healthcare, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINE PROVIDENCE HEALTHCARE, LLC (NPI 1083478325) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Philadelphia, Pennsylvania and active in the NPI registry since February 2024. The organization lists Benjamin Nwanonenyi, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Healthcare, LLC's NPI number?
The NPI number for Divine Providence Healthcare, LLC is 1083478325. It was assigned to this organization in the NPPES registry on February 7, 2024.
Where is Divine Providence Healthcare, LLC located?
Divine Providence Healthcare, LLC is located at 515 W Girard Ave, Philadelphia, PA 19123. The listed phone number is (215) 954-7181.
What is Divine Providence Healthcare, LLC'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 Healthcare, LLC was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Divine Providence Healthcare, Llc · NPI 1083478325
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since February 7, 2024.
## Identity
- **NPI:** 1083478325 (Entity type: Organization)
- **Enumerated:** February 7, 2024
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Also known as:** Divine Providence HealthCare, LLC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Benjamin Nwanonenyi, CEO
## Practice location
- **Address:** 515 W GIRARD AVE, Philadelphia, PA 19123-1461
- **Phone:** (215) 954-7181
## Record status
- **NPPES last updated:** February 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083478325) · Data from the CMS NPPES public registry.