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

Divine Purpose Legacy Group, Inc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1265388078

Divine Purpose Legacy Group, Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Charlotte, North Carolina. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8222 Gabon Ct
Charlotte, NC 28215-7625
Phone: (704) 606-5240
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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
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1265388078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Dorest — Owner · (704) 606-5240
NPI enumeratedMarch 5, 2026
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address9600 Perimeter Station Dr Apt 405, Charlotte, NC 28216-4387

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