DIVINE HEALTH CARE, LLC
NPI 1053659714
Clinic/Center - Primary Care in Hampton, VA

NPI Status: Active since January 30, 2013

Contact Information

2207 EXECUTIVE DR
STE B
HAMPTON, VA
ZIP 23666
Phone: (757) 826-1600
Fax: (757) 826-0160

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 49D2071498
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-12-2026

About DIVINE HEALTH CARE, LLC

This page provides the complete NPI Profile along with additional information for Divine Health Care, Llc, a primary care provider established in Hampton, Virginia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1053659714 assigned on January 2013. The practitioner's primary taxonomy code is 261QP2300X with license number 0017000454 (VA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Divine Health Care, Llc. The authorized official of this NPI record is Dr. Debra Foster Chinnery Edd, Fnp (Owner)

NPI
1053659714
Provider Legal Name
DIVINE HEALTH CARE, LLC
Other Organization Name
DIVINE HEALTH CARE, LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2207 EXECUTIVE DR STE B HAMPTON, VA 23666
Location Phone
(757) 826-1600
Location Fax
(757) 826-0160
Mailing Address
2207 EXECUTIVE DR STE B HAMPTON, VA 23666
Mailing Phone
(757) 826-1600
Mailing Fax
(757) 826-0160
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2013
Last Update Date
02-13-2017
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A primary care provider (PCP) like Divine Health Care, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
0017000454
License State
VA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DEBRA FOSTER CHINNERY EDD, FNP

Authorized Official Title
OWNER
Authorized Official Phone
(757) 826-0514

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2071498
Facility Type
Physician Office
Certificate Effective Date
January 13, 2024
Certificate Expiration Date
January 12, 2026
Laboratory Director
DEBRA F. CHINNERY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Divine Health Care, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DIVINE HEALTH CARE, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053659714
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201031251872
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 2 + 5 + 1 + 8 + 7 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1053659714 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063594133HAMPTON OBGYN INC PC
Organization
Obstetrics & Gynecology (Gynecology)2207 EXECUTIVE DR SUITE A
HAMPTON, VA 23666
(757) 826-1945
1528231990KATHERINE A. TREHERNE, MD., PC
Organization
Specialist2207 EXECUTIVE DR SUITE A
HAMPTON, VA 23666
(757) 827-5626
1821439696TREHERNE DERMATOLOGY AND SKIN C ARE CENTER LLC.
Organization
Clinic/Center (Medical Specialty)2207 EXECUTIVE DR SUITE A
HAMPTON, VA 23666
(757) 838-8525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053659714, enumerated in the NPI registry as an "organization" on January 30, 2013

The provider is located at 2207 Executive Dr Ste B Hampton, Va 23666 and the phone number is (757) 826-1600

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider's CLIA number is 49D2071498 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 30, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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