Divine House, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

1157 Issued in VA

Legal business name

DIVINE HOUSE, LLC

Practice address

3429 Stirrup Way
Virginia Beach, VA 23453-8546

Phone

(757) 202-0825

NPI assigned

Apr 27, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bela SV Amin, PTNPI 1619111291

Title

Administrator

Phone

(757) 202-0825

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bela Amin, PT

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1619111291
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1124262712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 BEAUMEADE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624642",
            "telephone_number": "757-202-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3429 STIRRUP WAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234538546",
            "telephone_number": "757-202-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "BELA",
        "authorized_official_middle_name": "SV",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-202-0825",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "1157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Disney, M.S., SLP-CF
• Daniel I. Dison, M.D.
• Divas, Inc
• Diversified Strategies, LLC (Compassionate Care Consumer Services)
• Divine Heart Supportive Community Services LLC (Divine Heart SCS LLC)
• Divine Life Services LLC
• Divine Works
• Divinefavor LLC
• Divinely Chaotic Wellness
• Ashley Paige Dixon, RDH

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.