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DIVINE PROVIDENCE VILLAGE
NPI 1801915418
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Glenside, PA

Active since March 28, 2007
106 WOODLYN AVE, UNIT #4, GLENSIDE, PA 19038(610) 543-5410(610) 543-5397 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Divine Providence Village NPPES

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

DIVINE PROVIDENCE VILLAGE (NPI 1801915418) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Glenside, Pennsylvania and active in the NPI registry since March 2007. The organization lists Fran Swiacki, Divisional Director, as its authorized official.

NPPES Registry Identity

NPI1801915418
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDIVINE PROVIDENCE VILLAGE
Location Address106 WOODLYN AVE, UNIT #4Glenside, PA 19038-4743
Mailing Address686 Old Marple RdSpringfield, PA 19064-1239 · (610) 328-7730 · Fax (610) 544-1710
Phone(610) 543-5410
Fax(610) 543-5397
Organization SubpartNo
Authorized OfficialFran SwiackiDivisional Director · (610) 543-3380
Enumeration DateMarch 28, 2007
Last NPPES UpdateNovember 17, 2015
✔ NPI 1801915418 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.
106 WOODLYN AVE, Glenside, PA 19038
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Other Identifiers 1

Medicaid1000031590087PA

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 1801915418. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Divine Providence Village located?

Divine Providence Village is located at 106 Woodlyn Ave Unit #4, Glenside, PA 19038. The listed phone number is (610) 543-5410.

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 November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.