PROVIDENCE CARE INC
NPI 1376805630
Community/Behavioral Health in Fairburn, GA

Q: What is Providence Care Inc's NPI number?

The NPI number for Providence Care Inc is 1376805630. It was assigned to this organization in the NPPES registry on June 13, 2012. The provider was formerly known as Providence Private Care Home And Providence Community Living Arrangem.

Q: What is Providence Care Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since June 13, 2012

216 NW BROAD ST STE B, FAIRBURN, GA 30213(678) 489-2069(678) 489-8627 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Providence Care Inc NPPES

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

PROVIDENCE CARE INC (NPI 1376805630), doing business as Providence Private Care Home And Providence Community Living Arrangem, is a healthcare organization registered as a community/behavioral health in Fairburn, Georgia and active in the NPI registry since June 2012. The organization lists Stella Ngozi Okpala, Director/owner, as its authorized official.

NPPES Registry Identity

NPI1376805630

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePROVIDENCE CARE INC

Location Address216 NW BROAD ST STE BFairburn, GA 30213-4106

Mailing Address216 Nw Broad St Ste BFairburn, GA 30213-4106 · (678) 489-2069 · Fax (678) 489-8627

Phone(678) 489-2069

Fax(678) 489-8627

Organization SubpartNo

Authorized OfficialStella Ngozi OkpalaDirector/owner · (404) 931-7854

Enumeration DateJune 13, 2012

✔ NPI 1376805630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in GA · 060-R-1019

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

216 NW BROAD ST STE B, Fairburn, GA 30213

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Other Names 1

Former Legal Business NameProvidence Private Care Home And Providence Community Living Arrangem

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STELLA NGOZI OKPALA

Pharmacist (Pharmacotherapy)

216 NW BROAD ST STE B
FAIRBURN, GA 30213

Fulton County (678) 489-2069

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 Providence Care Inc's NPI number?

The NPI number for Providence Care Inc is 1376805630. It was assigned to this organization in the NPPES registry on June 13, 2012. The provider was formerly known as Providence Private Care Home And Providence Community Living Arrangem.

Where is Providence Care Inc located?

Providence Care Inc is located at 216 NW Broad St Ste B, Fairburn, GA 30213. The listed phone number is (678) 489-2069.

What is Providence Care Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Providence Care Inc was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.