Organization Active NPI

Harmony Haven Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Union City, GA
National Provider Identifier
1023863842
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HARMONY HAVEN HOSPICE AND PALLIATIVE CARE
Practice address
4405 Mall Blvd Ste 130
Union City, GA 30291-2055
Phone
(404) 539-2527
NPI assigned
Apr 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Simone Johnson
Title
Administrator
Phone
(404) 769-2991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4405 Mall Blvd Ste 130
Union City, GA 30291-2055

Mailing address

4405 Mall Blvd Ste 130
Union City, GA 30291-2055
Phone (404) 539-2527

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2338139Harmony Haven Hospice & Palliative Care4405 Mall Boulevard, Suite 130, Union City, GA 30291Certificate of waiverFeb 4, 2028

National Provider Directory

National Provider Directory

Locations

4405 Mall Blvd
Ste 130
Union City, GA 30291
Phone (404) 539-2527

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1023863842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 MALL BLVD STE 130",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912055",
            "telephone_number": "404-539-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 MALL BLVD STE 130",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912055",
            "telephone_number": "404-539-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY HAVEN HOSPICE AND PALLIATIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-769-2991"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.