OrganizationActive
Providence Care Inc
NPI 1376805630 · Community/Behavioral Health Agency · Fairburn, GA
Providence Care Inc is a Community/Behavioral Health Agency organization in Fairburn, GA (NPI 1376805630).
Provider details
- NPI number
- 1376805630
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Stella Okpala, Director/Owner(404) 931-7854
- License
- 060-R-1019 (GA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
216 Nw Broad St Ste B
Fairburn, GA 30213-4106
Phone: (678) 489-2069
Fax: (678) 489-8627
Street-level locationGet directions
Mailing address
216 Nw Broad St Ste B
Fairburn, GA 30213-4106
Other names (DBA / former)
- Former legal business name
- Providence Private Care Home and Providence Community Living Arrangem
Registry dates
- Enumerated
- 2012-06-13
- Last updated
- 2012-06-13
Frequently asked questions
- What is Providence Care Inc's NPI number?
- Providence Care Inc's National Provider Identifier (NPI) is 1376805630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Care Inc?
- Providence Care Inc is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Providence Care Inc located?
- Providence Care Inc's practice location on file with NPPES is 216 Nw Broad St Ste B, Fairburn, GA 30213-4106.
- What is Providence Care Inc's phone number?
- The practice phone number listed in the NPPES registry for Providence Care Inc is (678) 489-2069.
- Who is the authorized official for Providence Care Inc?
- The authorized official listed on Providence Care Inc's NPPES record is Stella Okpala, Director/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Care Inc's NPI active?
- Yes — Providence Care Inc's NPI (1376805630) is active in the NPPES registry as of the last update on 2012-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.