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

Fannie's Divine Miracles, LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1093110439

Fannie's Divine Miracles, LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Portsmouth, Virginia. Licensed in Virginia. Registered with an NPI since 2014.

Licensed in
VA
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 Holladay St
Portsmouth, VA 23704-2232
Phone: (757) 729-0009
Fax: (757) 966-5334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 1956 (VA)

Record details

NPI number1093110439
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFannie's Divine Miracles, LLC
Authorized official Irish Caine — Executive Director · (757) 729-0009
NPI enumeratedOctober 28, 2014
Last updated in NPPESOctober 28, 2014
Mailing address1100 Holladay St, Portsmouth, VA 23704-2232

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