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PREDESTINED FOR GREATNESS
NPI 1154537181
Residential Treatment Facility, Emotionally Disturbed Children in Ellenwood, GA

Active since May 15, 2007
4865 BROOKSTONE PKWY, ELLENWOOD, GA 30294(770) 320-9278 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Predestined For Greatness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREDESTINED FOR GREATNESS (NPI 1154537181) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Ellenwood, Georgia and active in the NPI registry since May 2007. The organization lists Dion Thomas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154537181
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NamePREDESTINED FOR GREATNESS
Location Address4865 BROOKSTONE PKWYEllenwood, GA 30294-2126
Mailing Address4865 Brookstone PkwyEllenwood, GA 30294-2126 · (770) 320-9278
Phone(770) 320-9278
Organization SubpartNo
Authorized OfficialDion ThomasCeo · (770) 320-9278
Enumeration DateMay 15, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154537181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in GA · CCI001578
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
4865 BROOKSTONE PKWY, Ellenwood, GA 30294
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Predestined For Greatness's NPI number?

The NPI number for Predestined For Greatness is 1154537181. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Predestined For Greatness located?

Predestined For Greatness is located at 4865 Brookstone Pkwy, Ellenwood, GA 30294. The listed phone number is (770) 320-9278.

What is Predestined For Greatness's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Predestined For Greatness was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.