NPIMap

Organization Active NPI

Communities of Don Guanella and Divine Providence

  • Intellectual Disabilities Intermediate Care Facility
  • Springfield, PA
National Provider Identifier
1003295288
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
COMMUNITIES OF DON GUANELLA AND DIVINE PROVIDENCE
Practice address
1765 S. Sproul Rd
Springfield, PA 19064
Phone
(610) 543-3380
NPI assigned
May 21, 2015
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dawn Engel
Title
Hipaa Officer
Phone
(484) 908-6057

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Divine Providence Village (124 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1765 S. Sproul Rd
Springfield, PA 19064

Mailing address

20 E Cleveland Ave
Norwood, PA 19074-1207
Phone (610) 543-3380

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2023.

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1003295288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E CLEVELAND AVE",
            "city": "NORWOOD",
            "state": "PA",
            "postal_code": "190741207",
            "telephone_number": "610-543-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 S. SPROUL RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "19064",
            "telephone_number": "610-543-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITIES OF DON GUANELLA AND DIVINE PROVIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "HIPAA OFFICER",
        "authorized_official_telephone_number": "484-908-6057"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.