Organization Active NPI

Safe Haven Care Services, LLC

  • Adult Companion
  • Stone Mountain, GA
National Provider Identifier
1033064266
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
SAFE HAVEN CARE SERVICES, LLC
Practice address
957 Main St Ste 131
Stone Mountain, GA 30083-3060
Phone
(404) 597-2390
NPI assigned
Mar 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Gwendolyn Renee Shumate-Williams, SHUMATE-WILLIAMS
Title
Member
Phone
(404) 597-2390

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

957 Main St Ste 131
Stone Mountain, GA 30083-3060

Mailing address

5722 Greenridge CT
Lithonia, GA 30058-2202
Phone (404) 597-2390

National Provider Directory

National Provider Directory

Locations

957 Main St
Ste 131
Stone Mountain, GA 30083
Phone (404) 597-2390

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1033064266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5722 GREENRIDGE CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582202",
            "telephone_number": "404-597-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 MAIN ST STE 131",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833060",
            "telephone_number": "404-597-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "SHUMATE-WILLIAMS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "404-597-2390",
        "authorized_official_credential": "SHUMATE-WILLIAMS"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.