OrganizationActive
Divine Residential Services, LLC
NPI 1114101342 · Mental Illness Community Based Residential Treatment Facility · Richmond, VA
Provider details
- NPI number
- 1114101342
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Samara Gracia, Executive Director(804) 306-1242
- License
- 89305001 (VA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
6206 Manuel Ct
Richmond, VA 23234-5894
Phone: (804) 918-1433
Street-level locationGet directions
Mailing address
12501 Chesdin Landing Dr
Chesterfield, VA 23838-3230
Registry dates
- Enumerated
- 2007-12-24
- Last updated
- 2007-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.