1. Home
  2. Directory
  3. Pennsylvania
  4. Chester
  5. Community Based Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

DIVINE PROVIDENCE VILLAGE
NPI 1629433511
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chester, PA

Active since December 21, 2015
30 W ELKINTON AVE, CHESTER, PA 19013(610) 543-3380 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 5, 2024, Dec 21, 2015 (2 updates tracked since 2015).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Community Based Residential Treatment Fa...

About DIVINE PROVIDENCE VILLAGE

This page provides the complete NPI Profile along with additional information for Divine Providence Village, a provider established in Chester, 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 1629433511 assigned on December 2015. 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 Dawn Engel (Hipaa Officer)

NPI
1629433511 Verify this NPI
Provider Name
DIVINE PROVIDENCE VILLAGE
Entity Type
Organization
Location Address
30 W ELKINTON AVE CHESTER, PA 19013
Location Phone
(610) 543-3380
Mailing Address
686 OLD MARPLE RD SPRINGFIELD, PA 19064
Mailing Phone
(610) 328-7730
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2015
Last Update Date
04-05-2024
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAWN ENGEL

Authorized Official Title
HIPAA OFFICER
Authorized Official Phone
(610) 525-8800

Reviews for DIVINE PROVIDENCE VILLAGE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

What is DIVINE PROVIDENCE VILLAGE's NPI number?

The NPI number assigned to this healthcare provider is 1629433511, enumerated as an "organization" on December 21, 2015.

Where is the provider located?

The provider is located at 30 W ELKINTON AVE CHESTER, PA 19013 and the phone number is (610) 543-3380.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.