NPIMap

Organization Active NPI

Communities of Don Guanella and Divine Providence

  • Intellectual Disabilities Intermediate Care Facility
  • Upper Chichester, PA
National Provider Identifier
1972911337
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
4317 Bethel Rd
Upper Chichester, PA 19061-2710
Phone
(610) 543-3380
NPI assigned
Jul 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

4317 Bethel Rd
Upper Chichester, PA 19061-2710

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

Intermediate care facility for individuals with intellectual disabilities certification: CCN 39G424

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
COMMUNITIES OF DON GUANELLA AND DIVINE P AT BETHEL
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 20, 2015
Last certification
May 28, 2025
Beds
4
Ownership / control type
Private (non-profit)
Facility address
4317 Bethel Road
Boothwyn, PA 19061

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1972911337",
    "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": "4317 BETHEL RD",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190612710",
            "telephone_number": "610-543-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITIES OF DON GUANELLA AND DIVINE PROVIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "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": "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 Upper Chichester, PA

Sources for this page

Verify at the official NPI Registry.