DIVINE PROVIDENCE VILLAGE
NPI 1427176817
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Philadelphia, PA

NPI Status: Active since March 26, 2007

Contact Information

5038 HAVERFORD AVE
PHILADELPHIA, PA
ZIP 19139
Phone: (610) 543-5410
Fax: (610) 543-5397

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About DIVINE PROVIDENCE VILLAGE

This page provides the complete NPI Profile along with additional information for Divine Providence Village, a provider established in Philadelphia, Pennsylvania operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1427176817 assigned on March 2007. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dawn Engel (Hipaa Officer)

NPI
1427176817
Provider Name
DIVINE PROVIDENCE VILLAGE
Entity Type
Organization
Location Address
5038 HAVERFORD AVE PHILADELPHIA, PA 19139
Location Phone
(610) 543-5410
Location Fax
(610) 543-5397
Mailing Address
686 OLD MARPLE RD SPRINGFIELD, PA 19064
Mailing Phone
(610) 328-7730
Mailing Fax
(610) 543-5397
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2007
Last Update Date
04-02-2024
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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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License State
PA
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DAWN ENGEL

Authorized Official Title
HIPAA OFFICER
Authorized Official Phone
(610) 525-8800

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1000031590080MEDICAID (05)PA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427176817
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447271282
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 2 + 7 + 1 + 2 + 8 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1427176817 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427176817, enumerated in the NPI registry as an "organization" on March 26, 2007

The provider is located at 5038 Haverford Ave Philadelphia, Pa 19139 and the phone number is (610) 543-5410

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.