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DIVINE PROVIDENCE VILLAGE
NPI 1144685785
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Prospect Park, PA

Active since December 28, 2015
208 MACKENZIE AVE, PROSPECT PARK, PA 19076(610) 543-3380 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Providence Village NPPES

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

DIVINE PROVIDENCE VILLAGE (NPI 1144685785) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Prospect Park, Pennsylvania and active in the NPI registry since December 2015. The organization lists Dawn Engel, Hipaa Officer, as its authorized official.

NPPES Registry Identity

NPI1144685785
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDIVINE PROVIDENCE VILLAGE
Location Address208 MACKENZIE AVEProspect Park, PA 19076-2516
Mailing Address686 Old Marple RdSpringfield, PA 19064-1239 · (610) 328-7730
Phone(610) 543-3380
Organization SubpartNo
Authorized OfficialDawn EngelHipaa Officer · (610) 525-8800
Enumeration DateDecember 28, 2015
Last NPPES UpdateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1144685785 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.
208 MACKENZIE AVE, Prospect Park, PA 19076
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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 1144685785. It was assigned to this organization in the NPPES registry on December 28, 2015.

Where is Divine Providence Village located?

Divine Providence Village is located at 208 Mackenzie Ave, Prospect Park, PA 19076. The listed phone number is (610) 543-3380.

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 29, 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.