Divine Providence Village
NPI 1063539658 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Philadelphia, PA
Divine Providence Village is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Philadelphia, PA (NPI 1063539658).
Provider details
- NPI number
- 1063539658
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dawn Engel, Hipaa Officer(610) 525-8800
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2024-03-28
- Certified
- 2024-03-28
Frequently asked questions
- What is Divine Providence Village's NPI number?
- Divine Providence Village's National Provider Identifier (NPI) is 1063539658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Providence Village?
- Divine Providence Village is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Divine Providence Village located?
- Divine Providence Village's practice location on file with NPPES is 6322 N 21st St, Philadelphia, PA 19138-3006.
- What is Divine Providence Village's phone number?
- The practice phone number listed in the NPPES registry for Divine Providence Village is (610) 543-5410.
- Who is the authorized official for Divine Providence Village?
- The authorized official listed on Divine Providence Village's NPPES record is Dawn Engel, Hipaa Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Providence Village's NPI active?
- Yes — Divine Providence Village's NPI (1063539658) is active in the NPPES registry as of the last update on 2024-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.