NPIMap

Organization Active NPI

Communities of Don Guanella and Divine Providence

  • Intellectual Disabilities Intermediate Care Facility
  • Garnet Valley, PA
National Provider Identifier
1710317300
Registry record updated Aug 26, 2025
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
1420 Bethel Rd
Garnet Valley, PA 19060-2023
Phone
(610) 543-3380
NPI assigned
Nov 18, 2013
Last updated
Aug 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Dawn Engel
Title
Hipaa Officer
Phone
(610) 525-8800

Specialties & licenses 1

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

Addresses

Primary practice location

1420 Bethel Rd
Garnet Valley, PA 19060-2023

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710317300. Details of each certification follow.

  • CCN 39G445 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 39G445

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
COMMUNI OF DON GU AND DIVINE PRO AT GARNET VALLEY
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jul 10, 2025
Last certification
Jul 10, 2025
Beds
4
Ownership / control type
Private (non-profit)
Facility address
1420 Bethel Road
Garnet Valley, PA 19060

National Provider Directory

National Provider Directory
Tax ID family
Divine Providence Village124 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

1834 Meetinghouse Rd
Upper Chichester, PA 19061

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1710317300",
    "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": "1420 BETHEL RD",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190602023",
            "telephone_number": "610-543-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITIES OF DON GUANELLA AND DIVINE PROVIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "HIPAA OFFICER",
        "authorized_official_telephone_number": "610-525-8800"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garnet Valley, PA

Sources for this page

Verify at the official NPI Registry.