Fannie'S Divine Miracles,llc
NPI 1093110439 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Portsmouth, VA
Fannie'S Divine Miracles,llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Portsmouth, VA (NPI 1093110439).
Provider details
- NPI number
- 1093110439
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Fannie'S Divine Miracles,llc
- Organization subpart
- Yes
- Authorized official
- Irish Caine, Executive Director(757) 729-0009
- License
- 1956 (VA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 1956 (VA)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-10-28
- Last updated
- 2014-10-28
Frequently asked questions
- What is Fannie'S Divine Miracles,llc's NPI number?
- Fannie'S Divine Miracles,llc's National Provider Identifier (NPI) is 1093110439, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fannie'S Divine Miracles,llc?
- Fannie'S Divine Miracles,llc is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Fannie'S Divine Miracles,llc located?
- Fannie'S Divine Miracles,llc's practice location on file with NPPES is 1100 Holladay St, Portsmouth, VA 23704-2232.
- What is Fannie'S Divine Miracles,llc's phone number?
- The practice phone number listed in the NPPES registry for Fannie'S Divine Miracles,llc is (757) 729-0009.
- Who is the authorized official for Fannie'S Divine Miracles,llc?
- The authorized official listed on Fannie'S Divine Miracles,llc's NPPES record is Irish Caine, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fannie'S Divine Miracles,llc's NPI active?
- Yes — Fannie'S Divine Miracles,llc's NPI (1093110439) is active in the NPPES registry as of the last update on 2014-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.