DIVINE RESIDENTIAL SERVICES, LLC – NPI #1619793445
Psychiatric Residential Treatment Facility

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

DIVINE RESIDENTIAL SERVICES, LLC is a psychiatric residential treatment facility located in CORINTH, MS. NPPES has assigned the NPI number 1619793445 to DIVINE RESIDENTIAL SERVICES, LLC on November 26, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 323P00000X from the Health Care Provider Taxonomy code set, which is classified as Psychiatric Residential Treatment Facility.

The NPI profile was last updated on Jan 02, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIVINE RESIDENTIAL SERVICES, LLC below.

NPI Profile for
DIVINE RESIDENTIAL SERVICES, LLC

NPI Number
1619793445
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIVINE RESIDENTIAL SERVICES, LLC
Primary location
2101 PROPER ST
CORINTH, MS 38834-5247
Phone: (225) 810-0261 Fax:
Mailing address
18519 LOCH BEND AVE
GREENWELL SPRINGS, LA 70739-4776
Phone: Fax:
Organization Subpart
No
Authorized Official
BRANDON TRIGGS
ADMINISTRATOR
Phone: (225) 810-0261
Updated
Certification Date
Jan 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
323P00000X
- Psychiatric Residential Treatment Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.