Organization Active NPI

Heaven Sent Second Chance Transitional Safehouse

  • Case Manager/Care Coordinator
  • McDonough, GA
National Provider Identifier
1043169642
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
HEAVEN SENT SECOND CHANCE TRANSITIONAL SAFEHOUSE
Practice address
122 Williams BLF
McDonough, GA 30252-6162
Phone
(844) 467-9943
NPI assigned
Jan 26, 2026
Last updated
Jan 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Authorized official

Name
Maurice Shahid
Title
Ceo
Phone
(844) 467-9943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

122 Williams BLF
McDonough, GA 30252-6162

Mailing address

1445 Woodmont LN NW Ste 744
Atlanta, GA 30318-2866
Phone (844) 467-9943

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1043169642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WOODMONT LN NW STE 744",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866",
            "telephone_number": "844-467-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WILLIAMS BLF",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302526162",
            "telephone_number": "844-467-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN SENT SECOND CHANCE TRANSITIONAL SAFEHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "SHAHID",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-467-9943"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.