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

Active since July 08, 2015
280 N PROVIDENCE RD STE 2, MEDIA, PA 19063(484) 445-4145(888) 373-9844 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 3, 2024, Dec 23, 2022, May 7, 2021 and 6 more (9 updates tracked since 2016).

About Providence Living Llc NPPES

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

PROVIDENCE LIVING LLC (NPI 1730562711), doing business as Providence Treatment, is a healthcare organization registered as a rehabilitation, substance use disorder in Media, Pennsylvania and active in the NPI registry since July 2015. The organization maintains 3 additional practice locations and lists William J Heran, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730562711
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePROVIDENCE LIVING LLC
Location Address280 N PROVIDENCE RD STE 2Media, PA 19063-3525
Mailing Address280 N Providence Rd Ste 2Media, PA 19063-3525 · (484) 445-4145 · Fax (888) 373-9844
Phone(484) 445-4145
Fax(888) 373-9844
Organization SubpartNo
Authorized OfficialWilliam J HeranCeo · (484) 445-4145
Enumeration DateJuly 8, 2015
Last NPPES UpdateAugust 25, 20259 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1730562711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 237095 (PA)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License 237095 (PA)
280 N PROVIDENCE RD STE 2, Media, PA 19063
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Other Names 1

Doing Business AsProvidence Treatment

Secondary Practice Locations 3

Location 11188 Bishop St Ste 1008Honolulu, HI 96813-3304 · Phone (808) 445-6780
Location 21528 Walnut St Ste 1410Philadelphia, PA 19102-3610 · Phone (484) 445-4145
Location 3896 Beacon St Ste ABoston, MA 02215-3033 · Phone (617) 314-7544

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER FRANCIS OWSIANY
Counselor (Professional)
280 N PROVIDENCE RD STE 2
MEDIA, PA 19063
Delaware County (610) 781-7808
ELLEN BROCK LCSW
Social Worker (Clinical)
280 N PROVIDENCE RD STE 2
MEDIA, PA 19063
Delaware County (484) 445-4145
MERITT DRAKE
Social Worker
280 N PROVIDENCE RD STE 2
MEDIA, PA 19063
Delaware County (484) 673-6517

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 Providence Living LLC's NPI number?

The NPI number for Providence Living LLC is 1730562711. It was assigned to this organization in the NPPES registry on July 8, 2015. The provider is doing business as Providence Treatment.

Where is Providence Living LLC located?

Providence Living LLC is located at 280 N Providence Rd Ste 2, Media, PA 19063. The listed phone number is (484) 445-4145.

What is Providence Living LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Providence Living LLC was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.