PROVIDENCE LIVING LLC
NPI 1962965145
Clinic/Center - Rehabilitation, Substance Use Disorder in Philadelphia, PA

Q: What is Providence Living LLC's NPI number?

The NPI number for Providence Living LLC is 1962965145. It was assigned to this organization in the NPPES registry on April 13, 2019. The provider is doing business as Providence Treatment.

Q: 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.

Active since April 13, 2019

1528 WALNUT ST STE 1410, PHILADELPHIA, PA 19102(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 09, 2026.

Record update history: May 7, 2021, Oct 9, 2020, Jun 8, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Providence Living Llc NPPES

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

PROVIDENCE LIVING LLC (NPI 1962965145), doing business as Providence Treatment, is a healthcare organization registered as a rehabilitation, substance use disorder in Philadelphia, Pennsylvania and active in the NPI registry since April 2019. The organization lists William Heran, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962965145

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NamePROVIDENCE LIVING LLC

Location Address1528 WALNUT ST STE 1410Philadelphia, PA 19102-3610

Mailing Address1528 Walnut St Ste 1410Philadelphia, PA 19102-3610 · (484) 445-4145 · Fax (888) 373-9844

Phone(484) 445-4145

Fax(888) 373-9844

Organization SubpartNo

Authorized OfficialWilliam HeranCeo · (484) 445-4145

Enumeration DateApril 13, 2019

Last NPPES UpdateAugust 25, 20254 updates tracked since enumeration

NPPES CertifiedAugust 25, 2025

✔ NPI 1962965145 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

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

1528 WALNUT ST STE 1410, Philadelphia, PA 19102

Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence Treatment

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

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 1962965145. It was assigned to this organization in the NPPES registry on April 13, 2019. The provider is doing business as Providence Treatment.

Where is Providence Living LLC located?

Providence Living LLC is located at 1528 Walnut St Ste 1410, Philadelphia, PA 19102. 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.