Divine Supports & Homes Inc.
NPI 1114400157 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fairfax, VA
Divine Supports & Homes Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Fairfax, VA (NPI 1114400157).
Provider details
- NPI number
- 1114400157
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mavis Tah, Ceo(240) 413-7682
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2018-09-14
- Last updated
- 2018-09-14
Frequently asked questions
- What is Divine Supports & Homes Inc.'s NPI number?
- Divine Supports & Homes Inc.'s National Provider Identifier (NPI) is 1114400157, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Supports & Homes Inc.?
- Divine Supports & Homes Inc. is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Divine Supports & Homes Inc. located?
- Divine Supports & Homes Inc.'s practice location on file with NPPES is 13005 Maepine Ct, Fairfax, VA 22033-3130.
- What is Divine Supports & Homes Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Divine Supports & Homes Inc. is (240) 413-7682.
- Who is the authorized official for Divine Supports & Homes Inc.?
- The authorized official listed on Divine Supports & Homes Inc.'s NPPES record is Mavis Tah, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Supports & Homes Inc.'s NPI active?
- Yes — Divine Supports & Homes Inc.'s NPI (1114400157) is active in the NPPES registry as of the last update on 2018-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.