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Divine Supports & Homes Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fairfax, VA · enumerated 2018 · authorized official Mavis Tah, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114400157

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Registry record

Entity type Organization (Type 2)
Legal business name Divine Supports & Homes Inc.
Practice address 13005 Maepine Ct, Fairfax, VA, 22033
Enumeration date Sep 14, 2018
Last updated in NPPES Sep 14, 2018

Taxonomy & classification

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Mavis Tah
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Divine Supports & Homes Inc.?
Divine Supports & Homes Inc. is registered in NPPES as a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-09-14.