PROVIDENCE LIVING LLC
NPI 1730562711
Clinic/Center - Rehabilitation, Substance Use Disorder in Media, PA

NPI Status: Active since July 08, 2015

Contact Information

280 N PROVIDENCE RD STE 2
MEDIA, PA
ZIP 19063
Phone: (484) 445-4145
Fax: (888) 373-9844

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About PROVIDENCE LIVING LLC

This page provides the complete NPI Profile along with additional information for Providence Living Llc, a provider established in Media, Pennsylvania operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1730562711 assigned on July 2015. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. Providence Living Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Dr. William J Heran Phd, Lcsw (Ceo)

NPI
1730562711
Provider Legal Name
PROVIDENCE LIVING LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
280 N PROVIDENCE RD STE 2 MEDIA, PA 19063
Location Phone
(484) 445-4145
Location Fax
(888) 373-9844
Mailing Address
280 N PROVIDENCE RD STE 2 MEDIA, PA 19063
Mailing Phone
(484) 445-4145
Mailing Fax
(888) 373-9844
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-08-2015
Last Update Date
08-25-2025
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Location Map

Secondary Locations

  • 1528 Walnut St Ste 1410
    Philadelphia, PA 19102
    (484) 445-4145
  • 896 Beacon St Ste A
    Boston, MA 02215
    (617) 314-7544
  • 1188 Bishop St Ste 1008
    Honolulu, HI 96813
    (808) 445-6780

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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

237095 (PA)
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
3261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
4324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

237095 (PA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

DR. WILLIAM J HERAN PHD, LCSW

Authorized Official Title
CEO
Authorized Official Phone
(484) 445-4145

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1730562711, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 1 + 0 + 6 + 4 + 7 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1730562711.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Social Worker
280 N PROVIDENCE RD STE 2
MEDIA, PA 19063
Counselor (Professional)
280 N PROVIDENCE RD STE 2
MEDIA, PA 19063
Social Worker (Clinical)
280 N PROVIDENCE RD STE 2
MEDIA, PA 19063

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730562711, enumerated as an "organization" on July 08, 2015.

The provider is located at 280 N PROVIDENCE RD STE 2 MEDIA, PA 19063 and the phone number is (484) 445-4145.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.