DIVINE SUPPORTS & HOMES INC.
NPI 1114400157
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fairfax, VA
About Divine Supports & Homes Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINE SUPPORTS & HOMES INC. (NPI 1114400157) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fairfax, Virginia and active in the NPI registry since September 2018. The organization lists Mavis Ngum Tah, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Supports & Homes Inc.'s NPI number?
The NPI number for Divine Supports & Homes Inc. is 1114400157. It was assigned to this organization in the NPPES registry on September 14, 2018.
Where is Divine Supports & Homes Inc. located?
Divine Supports & Homes Inc. is located at 13005 Maepine Ct, Fairfax, VA 22033. The listed phone number is (240) 413-7682.
What is Divine Supports & Homes Inc.'s specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Divine Supports & Homes Inc. was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Divine Supports & Homes Inc. · NPI 1114400157
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Fairfax, Virginia. Organization record, active in the CMS NPPES registry since September 14, 2018.
## Identity
- **NPI:** 1114400157 (Entity type: Organization)
- **Enumerated:** September 14, 2018
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Mavis Tah, CEO
## Practice location
- **Address:** 13005 MAEPINE CT, Fairfax, VA 22033-3130
- **Phone:** (240) 413-7682
## Record status
- **NPPES last updated:** September 14, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1114400157) · Data from the CMS NPPES public registry.