Organization Active NPI

Dyvine Elevation, LLC

  • Developmentally Disabled Services Day Training Agency
  • Virginia Beach, VA
National Provider Identifier
1467323048
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
DYVINE ELEVATION, LLC
Practice address
4707 Parvathi CT
Virginia Beach, VA 23462-4465
Phone
(757) 652-3310
NPI assigned
Sep 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Lucretia Etheridge
Title
Owner
Phone
(757) 652-3310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

4707 Parvathi CT
Virginia Beach, VA 23462-4465

Mailing address

4707 Parvathi CT
Virginia Beach, VA 23462-4465
Phone (757) 652-3310

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1467323048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 PARVATHI CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624465",
            "telephone_number": "757-652-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 PARVATHI CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624465",
            "telephone_number": "757-652-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYVINE ELEVATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "ETHERIDGE",
        "authorized_official_first_name": "LUCRETIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-652-3310"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.