NPIMap

Organization Active NPI

Divon Group Home for Young Adults

  • Case Management Agency
  • Alexandria, VA
National Provider Identifier
1376398479
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DIVON GROUP HOME FOR YOUNG ADULTS
Practice address
4324 Vermont Ave
Alexandria, VA 22304-4922
Phone
(703) 965-0739
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Ms. Takahya Everett-GatlinNPI 1508635038
Title
Owner
Phone
(703) 965-0739

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

4324 Vermont Ave
Alexandria, VA 22304-4922

Mailing address

4324 Vermont Ave
Alexandria, VA 22304-4922
Phone (703) 965-0739

Other names 1

  • Divine Destiny Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1376398479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 VERMONT AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044922",
            "telephone_number": "703-965-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 VERMONT AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044922",
            "telephone_number": "703-965-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVON GROUP HOME FOR YOUNG ADULTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "EVERETT-GATLIN",
        "authorized_official_first_name": "TAKAHYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-965-0739",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Destiny",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Divine Destiny",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.