Organization Active NPI

Divinely Directed Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Portsmouth, VA
National Provider Identifier
1750614111
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
1075-14-001 Issued in VA
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

Updated by the provider on Sep 16, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.