Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Divine Providence Healthcare, LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1083478325

Divine Providence Healthcare, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Philadelphia, Pennsylvania. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

515 W Girard Ave
Philadelphia, PA 19123-1461
Phone: (215) 954-7181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1083478325
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Nwanonenyi — Ceo · (215) 954-7181
Other names Divine Providence Healthcare, Llc
NPI enumeratedFebruary 7, 2024
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024
Mailing address515 W Girard Ave Apt 1, Philadelphia, PA 19123-1461

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