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:
Health care specialties
| Specialty | Code | License # | 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 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245583194 | NPPES |
| Georgia | MEDICAID | GA |
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