Active NPI
Haven and Grace Home Care LLC
- In Home Supportive Care Agency
- Mableton, GA
National Provider Identifier
1174435119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- HAVEN AND GRACE HOME CARE LLC
- Practice address
- 5869 Cobblestone Creek Cir
Mableton, GA 30126-2656 - Phone
- (678) 763-9370
- NPI assigned
- Sep 22, 2026
- Last updated
- Sep 22, 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
- Brandy Wright
- Title
- Ceo, Founder, Administrator
- Phone
- (678) 763-9370
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
5869 Cobblestone Creek Cir
Mableton, GA 30126-2656
Mailing address
5869 Cobblestone Creek Cir
Mableton, GA 30126-2656
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Aide
- Mableton, GA
- NPI 1861311490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1174435119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5869 COBBLESTONE CREEK CIR",
"city": "MABLETON",
"state": "GA",
"postal_code": "301262656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5869 COBBLESTONE CREEK CIR",
"city": "MABLETON",
"state": "GA",
"postal_code": "301262656",
"telephone_number": "678-763-9370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVEN AND GRACE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "BRANDY",
"authorized_official_title_or_position": "CEO, FOUNDER, ADMINISTRATOR",
"authorized_official_telephone_number": "678-763-9370"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mableton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.