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DIVINE HEALTH CARE, LLC
NPI 1053659714
Clinic/Center - Primary Care in Hampton, VA

Active since January 30, 2013CLIA 49D2071498 · Waiver
2207 EXECUTIVE DR, STE B, HAMPTON, VA 23666(757) 826-1600(757) 826-0160 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Divine Health Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE HEALTH CARE, LLC (NPI 1053659714) is a healthcare organization registered as a primary care in Hampton, Virginia and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through January 12, 2028 and lists Debra Foster Chinnery, Owner, as its authorized official.

NPPES Registry Identity

NPI1053659714
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDIVINE HEALTH CARE, LLC
Location Address2207 EXECUTIVE DR, STE BHampton, VA 23666-2478
Mailing Address2207 Executive Dr, Ste BHampton, VA 23666-2478 · (757) 826-1600 · Fax (757) 826-0160
Phone(757) 826-1600
Fax(757) 826-0160
Organization SubpartNo
Authorized OfficialDebra Foster ChinneryOwner · (757) 826-0514
Enumeration DateJanuary 30, 2013
Last NPPES UpdateFebruary 13, 2017
✔ NPI 1053659714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in VA · 0017000454
2207 EXECUTIVE DR, Hampton, VA 23666
Open in Google Maps ↗

Other Names 1

Doing Business AsDivine Health Care, Llc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2071498

Divine Health Care, LLC · Hampton, VA
Active · expires Jan 12, 2028
CLIA Number49D2071498
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorDebra F. Chinnery
Laboratory Phone(757) 826-1600
Laboratory LocationDivine Health Care, LLC2100 Executive Drive, Ste B, Hampton, VA 23666
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAMPTON OBGYN INC PC
Obstetrics & Gynecology (Gynecology)
2207 EXECUTIVE DR, SUITE A
HAMPTON, VA 23666
Hampton City (757) 826-1945
KATHERINE A. TREHERNE, MD., PC
Specialist
2207 EXECUTIVE DR, SUITE A
HAMPTON, VA 23666
Hampton City (757) 827-5626
TREHERNE DERMATOLOGY AND SKIN C ARE CENTER LLC.
Clinic/Center (Medical Specialty)
2207 EXECUTIVE DR, SUITE A
HAMPTON, VA 23666
Hampton City (757) 838-8525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Health Care, LLC's NPI number?

The NPI number for Divine Health Care, LLC is 1053659714. It was assigned to this organization in the NPPES registry on January 30, 2013.

Where is Divine Health Care, LLC located?

Divine Health Care, LLC is located at 2207 Executive Dr Ste B, Hampton, VA 23666. The listed phone number is (757) 826-1600.

What is Divine Health Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Divine Health Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2071498) is associated with this NPI, valid through January 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Divine Health Care, LLC was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.