NPIMap

Organization Active NPI

The Devereux Foundation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • West Chester, PA
National Provider Identifier
1699199091
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
121670 Issued in PA
Legal business name
THE DEVEREUX FOUNDATION
Practice address
487 Lisa Dr
West Chester, PA 19380-1303
Phone
(610) 431-8191
NPI assigned
Feb 6, 2014
Last updated
Feb 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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) 406-1637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 121670 PA Primary

Addresses

Primary practice location

487 Lisa Dr
West Chester, PA 19380-1303

Mailing address

PO Box 490a
Villanova, PA 19085-0290

Other identifiers 1

IdentifierTypeStateIssuer
100019130724MedicaidPA

Other names 1

  • Lisa Lane Other name

National Provider Directory

National Provider Directory
Tax ID family
Comm SVCS of Devereux332 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

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1699199091",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 LISA DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801303",
            "telephone_number": "610-431-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "DRY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "REIMBURSEMENT ANALYST",
        "authorized_official_telephone_number": "610-406-1637"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "121670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100019130724",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa Lane",
            "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 Feb 6, 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.