Devereux Foundation Country Club
NPI 1104949163 · Intellectual Disabilities Intermediate Care Facility · Phoenixville, PA
Devereux Foundation Country Club is a Intellectual Disabilities Intermediate Care Facility organization in Phoenixville, PA (NPI 1104949163).
Provider details
- NPI number
- 1104949163
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Fran Wagner, National Accts Receivable Director(610) 542-3084
- License
- 504640 (PA)
Specialties & taxonomies
Nursing & Custodial Care 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
Other names (DBA / former)
- Other name
- Whitlock Country Club
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Devereux Foundation Country Club's NPI number?
- Devereux Foundation Country Club's National Provider Identifier (NPI) is 1104949163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Devereux Foundation Country Club?
- Devereux Foundation Country Club is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Devereux Foundation Country Club located?
- Devereux Foundation Country Club's practice location on file with NPPES is 755 Country Club Rd, Phoenixville, PA 19460-2725.
- What is Devereux Foundation Country Club's phone number?
- The practice phone number listed in the NPPES registry for Devereux Foundation Country Club is (610) 296-6800.
- Who is the authorized official for Devereux Foundation Country Club?
- The authorized official listed on Devereux Foundation Country Club's NPPES record is Fran Wagner, National Accts Receivable Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Devereux Foundation Country Club's NPI active?
- Yes — Devereux Foundation Country Club's NPI (1104949163) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.