NPIMap

Organization Active NPI

The Devereux Foundation

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • West Chester, PA
National Provider Identifier
1295158137
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
135100 Issued in PA
Legal business name
THE DEVEREUX FOUNDATION
Practice address
390 E Boot Rd
105 Devereux Circle
West Chester, PA 19380-1222
Phone
(610) 431-8191
NPI assigned
Jan 29, 2014
Last updated
Jan 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Catherine Dry
Title
Reimbursement Analyst
Phone
(610) 542-3074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 135100 PA Primary

Addresses

Primary practice location

390 E Boot Rd
105 Devereux Circle
West Chester, PA 19380-1222

Mailing address

PO Box 490a
Villanova, PA 19085-0290
Phone (610) 542-3074

Other identifiers 1

IdentifierTypeStateIssuer
1000019130718MedicaidPA

Other names 1

  • Jackson B Other name

National Provider Directory

National Provider Directory
Tax ID family
Devereux Arizona332 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

390 E Boot Rd
#105
West Chester, PA 19380
Phone (610) 431-8191

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1295158137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490A",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190850290",
            "telephone_number": "610-542-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 E BOOT RD",
            "address_2": "105 DEVEREUX CIRCLE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801222",
            "telephone_number": "610-431-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "DRY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "REIMBURSEMENT ANALYST",
        "authorized_official_telephone_number": "610-542-3074"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "135100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000019130718",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson B",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.