EMPOWERMENT OF DIVINE PROVIDENCE, INC.
NPI 1295017382
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dallas, GA

Q: What is Empowerment Of Divine Providence, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since September 14, 2011

3 BIRCHFIELD WAY, DALLAS, GA 30132(404) 285-8415 Get Directions Write a Review

NPPES record last updated: October 31, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Empowerment Of Divine Providence, Inc. NPPES

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

EMPOWERMENT OF DIVINE PROVIDENCE, INC. (NPI 1295017382) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Dallas, Georgia and active in the NPI registry since September 2011. The organization lists Clorissal Liu, Owner, as its authorized official.

NPPES Registry Identity

NPI1295017382

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameEMPOWERMENT OF DIVINE PROVIDENCE, INC.

Location Address3 BIRCHFIELD WAYDallas, GA 30132-0842

Mailing Address3 Birchfield WayDallas, GA 30132-0842 · (404) 285-8415

Phone(404) 285-8415

Organization SubpartNo

Authorized OfficialClorissal LiuOwner · (404) 285-8415

Enumeration DateSeptember 14, 2011

Last NPPES UpdateOctober 31, 2014

✔ NPI 1295017382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in GA · CN0030003852

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedHome HealthTaxonomy 251E00000X

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X

Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X

3 BIRCHFIELD WAY, Dallas, GA 30132

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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 Empowerment Of Divine Providence, Inc.'s NPI number?

The NPI number for Empowerment Of Divine Providence, Inc. is 1295017382. It was assigned to this organization in the NPPES registry on September 14, 2011.

Where is Empowerment Of Divine Providence, Inc. located?

Empowerment Of Divine Providence, Inc. is located at 3 Birchfield Way, Dallas, GA 30132. The listed phone number is (404) 285-8415.

What is Empowerment Of Divine Providence, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Empowerment Of Divine Providence, Inc. was last updated on October 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.