DIVINE SUPPORTS & HOMES INC.


Address: 13005 Maepine Ct, Fairfax, VA 22033-3130
Phone: 2404137682

DIVINE SUPPORTS & HOMES INC. (NPI# 1114400157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114400157
Entity Type Organization
Organization Name DIVINE SUPPORTS & HOMES INC.
Practice Address 13005 Maepine Ct
Fairfax
VA 22033-3130
Mailing Address 9716 Anita Ln
Lanham
MD 20706-3307
Practice Telephone 2404137682
Mailing Telephone 2404137682
Enumeration Date 2018-09-14
Last Update Date 2018-09-14
Authorized Official Name MRS. MAVIS NGUM TAH (CEO)
Authorized Official Telephone 2404137682
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Divine Supports & Homes Inc. 6104 Virgo Ct, Burke, Virginia 22015-3249

Office Location

Street Address 13005 MAEPINE CT
City FAIRFAX
State VA
Zip Code 22033-3130

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366074320 Han S Yoo Pharmacist 12200 West Ox Road, Fairfax, VA 22033 2020-02-07
1386137271 Ammar Orthodontics Pllc Dentist 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 2018-06-14
1013360940 Kellyn Patricia Dodd Nurse Practitioner 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 2016-07-15
1659721363 John Du Od PC Optometrist 12618 Victoria Station Ct, Fairfax, VA 22033 2016-06-14
1568861904 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 12734 Shoppes Lane, Fairfax, VA 22033 2014-08-21
1649696295 Patrisha Lultschik Nurse Practitioner 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 2014-03-06
1912321910 Alyson Huber Nurse Anesthetist, Certified Registered 3600 Joseph Siewick Dr., Fairfax, VA 22033 2014-02-11
1578999314 Aiatulah Surmaty Optometrist 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 2013-09-25
1356780928 Ayatallah M. Khafagy Obstetrics & Gynecology 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 2013-06-17
1760726665 Michelle Elise Schwartz Speech-Language Pathologist 3507 Curtice Farm Dr, Fairfax, VA 22033 2012-11-15
Find all providers in zip 22033

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770196339 Jilly Healthcare Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4145 Lenox Dr, Fairfax, VA 22032-1112 2020-08-24
1790317105 Zrahil Healthcare LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10905 Fairchester Dr, Fairfax, VA 22030-4807 2020-02-04
1790321800 Community Comfort Care LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3736 Richard Ave, Fairfax, VA 22031-3535 2019-11-24
1609410273 Hands of Mercy Group Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 12783 Cruz Ct, Fairfax, VA 22030-7283 2019-11-06
1568965333 William Henry Barnes Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3112 Plantation Pkwy, Fairfax, VA 22030-2118 2018-03-17
1427400050 Compassionate Care Group Homes, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4413 San Carlos Dr, Fairfax, VA 22030-5372 2016-07-07
1922191121 Community Living Alternatives, Corp. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9401 Lee Hwy, Suite 406, Fairfax, VA 22031-1849 2006-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134729213 Saint Claire Healthcare Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5601 Seminary Rd Apt 915n, Falls Church, VA 22041-2997 2020-10-28
1780283275 Great Day Residential Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6606 Gills Gate Pl, Chesterfield, VA 23832-6004 2020-10-26
1306451448 Nikita S Banks Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 505 Cumberland Street Ave, Ste 2, Portsmouth, VA 23704-2370 2020-09-15
1396359576 Best Hope Community Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 9662 Hawkshead Dr, Lorton, VA 22079-2786 2020-09-03
1609489038 Viana Healthcare Services Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8205 Mockingbird Dr, Annandale, VA 22003-3713 2020-08-25
1225640279 Guardian Angels Homecare, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1116 Pin Oak Drive, Suffolk, VA 23434-2343 2020-08-20
1659993079 Collaborative Community LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6000 Filbert Ct, Springfield, VA 22152-1609 2020-05-07
1356962252 Intellectual Services Group, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4813 Integrity Ct, Fredericksburg, VA 22408-1891 2020-05-01
1699394346 Peace of Mind Residential Care Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 17 Pinehurst Ln, Stafford, VA 22554-7288 2020-04-13
1487282729 Eye Care LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 721 Cabin Creek Dr, Hopewell, VA 23860-5350 2020-03-31
Find all providers with the same taxonomy

Competitor

Search similar providers

City FAIRFAX
Zip Code 22033

Improve Information

Please comment or provide details below to improve the information on DIVINE SUPPORTS & HOMES INC..

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches