Active NPI
Divinely Directed Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Portsmouth, VA
National Provider Identifier
1750614111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 1075-14-001
- Legal business name
- DIVINELY DIRECTED SERVICES
- Practice address
- 2909 Arcadia Ave
Portsmouth, VA 23704-6055 - Phone
- (757) 397-9058
- Fax
- (757) 558-6915
- NPI assigned
- Sep 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roderick S. Hawthorne Sr., DMIN
- Title
- Chief Administrative Officer
- Phone
- (757) 558-6914
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 1075-14-001 | VA | Primary |
Addresses
Primary practice location
2909 Arcadia Ave
Portsmouth, VA 23704-6055
Mailing address
961 Canal Dr
Suite B
Chesapeake, VA 23323-4766
Phone (757) 558-6914
National Provider Directory
National Provider DirectoryLocations
961 Canal Dr
Unit B
Chesapeake, VA 23323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253059200000",
"number": "1750614111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "961 CANAL DR",
"address_2": "SUITE B",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233234766",
"telephone_number": "757-558-6914",
"fax_number": "757-558-6915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 ARCADIA AVE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237046055",
"telephone_number": "757-397-9058",
"fax_number": "757-558-6915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINELY DIRECTED SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-16",
"last_updated": "2009-09-16",
"status": "A",
"authorized_official_last_name": "HAWTHORNE",
"authorized_official_first_name": "RODERICK",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "757-558-6914",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "DMIN"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "VA",
"license": "1075-14-001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.