Active NPI
Safe Haven Care Services, LLC
- Adult Companion
- Stone Mountain, GA
National Provider Identifier
1033064266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary | ||
| Home Health Aide | 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 DirectoryLocations
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.