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Providence Corporation
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Philadelphia, Pennsylvania
NPI 1518320373

Providence Corporation is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Philadelphia, PA. Providence Corporation practices in Philadelphia, PA. The NPI Number for Providence Corporation is 1518320373 and holds a License No. CER-00092467 (Pennsylvania).

The current practice location address for Providence Corporation is 7928 Ridge Ave, Philadelphia, PA and can be reached out via phone at 484-746-0064.

Location: 7928 Ridge Ave, Philadelphia, PA, 19128-3011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518320373
Provider Name
Providence Corporation
Credential
Provider Entity Type
Organization
Address
7928 Ridge Ave, Philadelphia, PA, 19128-3011
Phone Number
484-746-0064
Fax Number
Provider Enumeration Date
03/30/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
7928 Ridge Ave
City
Philadelphia
State
Pennsylvania
Zip
19128-3011
Phone Number
484-746-0064
Fax Number
person
Provider Business Mailing Address Details
Address
7928 Ridge Ave
City
Philadelphia
State
Pennsylvania
Zip
19128-3011
Phone Number
484-746-0064
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
CER-00092467 (Pennsylvania)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
CER-00092467 (Pennsylvania)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
CER-00092467 (Pennsylvania)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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