DIVINE PROVIDENCE VILLAGE
NPI 1780049320
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Havertown, PA

Q: What is Divine Providence Village's NPI number?

The NPI number for Divine Providence Village is 1780049320. It was assigned to this organization in the NPPES registry on December 28, 2015.

Q: 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.

Active since December 28, 2015

215 FAIRLAMB AVE, HAVERTOWN, PA 19083(610) 543-3380 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 5, 2024, Dec 28, 2015 (2 updates tracked since 2015).

On this page

About Divine Providence Village NPPES

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

DIVINE PROVIDENCE VILLAGE (NPI 1780049320) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Havertown, Pennsylvania and active in the NPI registry since December 2015. The organization lists Dawn Engel, Hipaa Officer, as its authorized official.

NPPES Registry Identity

NPI1780049320

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameDIVINE PROVIDENCE VILLAGE

Location Address215 FAIRLAMB AVEHavertown, PA 19083-2822

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 UpdateApril 5, 20242 updates tracked since enumeration

NPPES CertifiedApril 5, 2024

✔ NPI 1780049320 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.

215 FAIRLAMB AVE, Havertown, PA 19083

Open in Google Maps ↗

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 1780049320. 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 215 Fairlamb Ave, Havertown, PA 19083. 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 April 5, 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.