DIVINE PROVIDENCE VILLAGE
NPI 1760500722
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in New Castle, DE

NPI Status: Active since March 27, 2007

Contact Information

306 ROLLING GREEN AVE
NEW CASTLE, DE
ZIP 19720
Phone: (610) 543-5410
Fax: (610) 543-5397

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  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 39D2215751
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 03-05-2025

About DIVINE PROVIDENCE VILLAGE

This page provides the complete NPI Profile along with additional information for Divine Providence Village, a provider established in New Castle, Delaware operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1760500722 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 10 years ago. The authorized official of this NPI record is Mr. Fran Swiacki (Divisional Director)

NPI
1760500722
Provider Name
DIVINE PROVIDENCE VILLAGE
Entity Type
Organization
Location Address
306 ROLLING GREEN AVE NEW CASTLE, DE 19720
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
03-27-2007
Last Update Date
11-17-2015
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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
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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

MR. FRAN SWIACKI

Authorized Official Title
DIVISIONAL DIRECTOR
Authorized Official Phone
(610) 543-3380

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2215751
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
March 06, 2023
Certificate Expiration Date
March 05, 2025
Laboratory Director
DR. BRIAN G. FRIEDRICH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Divine Providence Village to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1760500722
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120100074
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 0 + 0 + 0 + 7 + 4 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1760500722 is valid because the calculated check digit 2 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 1760500722, enumerated in the NPI registry as an "organization" on March 27, 2007

The provider is located at 306 Rolling Green Ave New Castle, De 19720 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's CLIA number is 39D2215751 for a "intermediate care facility for mentally retarded" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 27, 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].
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