Destined 4 Greatness

LBN: Destined 4 Greatness
Destined 4 Greatness is an health care organization with primary practice located at 698 Grand Folia Ct , Sugar Hill GA 30518-5593. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Transportation Services / Non-emergency Medical Transport (VAN), Respite Care Facility / Respite Care, Mental Illness, Child. Agencies / Community/Behavioral Health is the primary health care specialty. Destined 4 Greatness can be contacted via phone (404) 597-9490, or through Warren, Jimmie L via phone (404) 597-9490.

Contact Information

Primary practice address
698 Grand Folia Ct Sugar Hill GA 30518-5593
Phone: (404) 597-9490
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Warren, Jimmie L
Phone: (404) 597-9490

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X

Profile Details

NPI number 1245583194
LBN Legal business name Destined 4 Greatness
DBA Doing business as
Authorized official Warren, Jimmie L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2012
Last updated Oct 16th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245583194 NPPES
Georgia MEDICAID GA

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