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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header
 
Name: PROVIDENCE CORPORATION
Address: 7928 RIDGE AVE
PHILADELPHIA, PA 19128-3103
Phone: (215) 482-0870
E-mail: eberry@providencecorp.org
Web Site: N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header
Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header
 
Type: Corporate Office
Name: Providence Corporation
Address: 3901B MAIN ST STE 101
PHILADELPHIA, PA 19127-2191
Phone: (215) 482-0870
Fax: (215) 558-5001
 

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PROVIDER SERVICES AND RATES Supporting line for group header
 
County : Allegheny
|Service Name / Level |Rate
Res Hab-1 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports $433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports $545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig $980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS $1,194.98 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports $790.99 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports-ECS $958.99 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-ECS $1,454.26 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports $871.56 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports $1,341.85 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS $8.01 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS $16.03 / 15 min.
 
County : Lawrence
|Service Name / Level |Rate
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-ECS $1,454.26 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports $871.56 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports $1,341.85 / 1 Day
Res Hab-Lic-1 Person-Inelig $105.05 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS $8.01 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS $16.03 / 15 min.
 
County : Montgomery
|Service Name / Level |Rate
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $730.86 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
 
County : Philadelphia
|Service Name / Level |Rate
NEA - Adult Res (6400) - No Day - NG5 Not Set
Needs Except. Allowance (NEA)-Adult Res (6400) NG5 Not Set
Needs Exception Allowance (NEA)-Adult Res (6400) Not Set
Needs Excptn Allowance (NEA)-Adult Res (6400)-521 $1,349.21 / 1 Day
Res Hab-1 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports $433.05 / 1 Day
Res Hab-1 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports $545.91 / 1 Day
Res Hab-1 Person-NG 3-Elig $980.38 / 1 Day
Res Hab-1 Person-NG 3-Elig-ECS $1,194.98 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports $790.99 / 1 Day
Res Hab-1 Person-NG 4-Elig $1,185.86 / 1 Day
Res Hab-1 Person-NG 4-Elig-ECS $1,454.26 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports $871.56 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports-ECS $1,061.06 / 1 Day
Res Hab-1 Person-NG5-Elig $1,754.51 / 1 Day
Res Hab-1 Person-NG5-Elig-w/Day Supports $1,341.85 / 1 Day
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-ECS $882.26 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $668.54 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports-ECS $809.65 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $730.86 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports $1,215.16 / 1 Day
Res Hab-Lic-1 Person-Inelig $105.05 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS $8.01 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
Supplemental Habilitation 2:1 - 15 min - ECS $16.03 / 15 min.
 
County : Tioga
|Service Name / Level |Rate
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $730.86 / 1 Day
Res Hab-2 Person-NG5-Elig $1,312.57 / 1 Day
Res Hab-2 Person-NG5-Elig-w/Day Supports $1,215.16 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.
 
County : York/Adams
|Service Name / Level |Rate
Res Hab-2 Person-NG 1-Elig $554.38 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports $433.05 / 1 Day
Res Hab-2 Person-NG 2-Elig $643.34 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports $545.91 / 1 Day
Res Hab-2 Person-NG 3-Elig $726.82 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports $668.54 / 1 Day
Res Hab-2 Person-NG 4-Elig $869.36 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports $730.86 / 1 Day
Res Hab-Lic-2 Person-Inelig $57.29 / 1 Day
Supplemental Habilitation 1:1 - 15 min $6.12 / 15 min.
Supplemental Habilitation 2:1 - 15 min $12.22 / 15 min.

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