Providence Living LLC
NPI 1730562711 · Substance Use Disorder Rehabilitation Clinic/Center · Media, PA
Providence Living LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Media, PA (NPI 1730562711).
Provider details
- NPI number
- 1730562711
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Heran, Ceo(484) 445-4145
- License
- 237095 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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)
- Doing business as
- Providence Treatment
- Doing business as
- Providence Treatment
- Other name
- Providence Treatment
Additional practice locations (3)
- 1188 Bishop St Ste 1008Honolulu, HI 96813-3304Phone: (808) 445-6780
- 896 Beacon St Ste aBoston, MA 02215-3033Phone: (617) 314-7544
- 1528 Walnut St Ste 1410Philadelphia, PA 19102-3610Phone: (484) 445-4145
Registry dates
- Enumerated
- 2015-07-08
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Frequently asked questions
- What is Providence Living LLC's NPI number?
- Providence Living LLC's National Provider Identifier (NPI) is 1730562711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Living LLC?
- Providence Living LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Providence Living LLC located?
- Providence Living LLC's practice location on file with NPPES is 280 N Providence Rd Ste 2, Media, PA 19063-3525.
- What is Providence Living LLC's phone number?
- The practice phone number listed in the NPPES registry for Providence Living LLC is (484) 445-4145.
- Who is the authorized official for Providence Living LLC?
- The authorized official listed on Providence Living LLC's NPPES record is William Heran, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Living LLC's NPI active?
- Yes — Providence Living LLC's NPI (1730562711) is active in the NPPES registry as of the last update on 2025-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.