Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divon Group Home for Young Adults

Organization Case Manager/Care Coordinator · NPI 1376398479

Divon Group Home for Young Adults is a Case Manager/Care Coordinator in Alexandria, Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

4324 Vermont Ave
Alexandria, VA 22304-4922
Phone: (703) 965-0739
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
In Home Supportive Care Agency Taxonomy 253Z00000X

Record details

NPI number1376398479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Takahya Everett-Gatlin — Owner · (703) 965-0739
Other names Divine Destiny; Divine Destiny
NPI enumeratedApril 22, 2024
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address4324 Vermont Ave, Alexandria, VA 22304-4922

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