P Praxis·MD
● Active Type 2 · Organization

Empowerment Of Divine Providence, Inc.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·Dallas, GA· NPI 1295017382 · Enumerated 2011 · 14 years on NPI
Empowerment Of Divine Providence, Inc. is 1 of 300 community based residential treatment facility, intellectual and/or developmental disabilities organizations in Georgia.
NPI age
14 years
Enumerated 2011-09-14
Primary specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Liu
Owner
Last NPPES update
2014-10-31
Source: monthly bulk 2026-05

How this organization compares

Across 300 active community based residential treatment facility, intellectual and/or developmental disabilities providers in Georgia.

NPI age
14 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
3
In the 14% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-09Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
3 Birchfield Way
Dallas, GA 301320842
📞 4042858415
Mailing address
3 Birchfield Way
Dallas, GA 301320842
📞 4042858415

Authorized official

Clorissal Liu
Owner
📞 4042858415

Specialties

  • Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary
    A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
    GA license #CN0030003852 taxonomy 320900000X
  • Home Health
    A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language...
    taxonomy 251E00000X
  • Residential Treatment Facility, Intellectual and/or Developmental Disabilities
    A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
    taxonomy 320600000X
  • Residential Treatment Facility, Physical Disabilities
    A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
    taxonomy 320700000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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