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

Providence Care Inc

Organization Community/Behavioral Health Agency · NPI 1376805630

Providence Care Inc is a Community/Behavioral Health Agency in Fairburn, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
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

216 NW Broad St Ste B
Fairburn, GA 30213-4106
Phone: (678) 489-2069
Fax: (678) 489-8627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 060-R-1019 (GA)

Record details

NPI number1376805630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stella Okpala — Director/Owner · (404) 931-7854
Other names Providence Private Care Home And Providence Community Living Arrangem
NPI enumeratedJune 13, 2012
Last updated in NPPESJune 13, 2012
Mailing address216 Nw Broad St Ste B, Fairburn, GA 30213-4106

Other providers in Fairburn