NPIMap

Organization Active NPI

Haven Hills Therapeutic Riding Center, Inc.

  • Rehabilitation Clinic/Center
  • Fairburn, GA
National Provider Identifier
1194169037
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
00116431 Issued in GA
Legal business name
HAVEN HILLS THERAPEUTIC RIDING CENTER, INC.
Practice address
7580 Rivertown Rd
Fairburn, GA 30213-2403
Phone
(678) 296-9693
NPI assigned
Apr 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Heili S Randall, CRC
Title
Certified Rehabilitation Counselor
Phone
(770) 371-7531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 00116431 GA Primary

Addresses

Primary practice location

7580 Rivertown Rd
Fairburn, GA 30213-2403

Mailing address

7580 Rivertown Rd
Fairburn, GA 30213-2403
Phone (678) 296-9693

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1194169037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 RIVERTOWN RD",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302132403",
            "telephone_number": "678-296-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 RIVERTOWN RD",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302132403",
            "telephone_number": "678-296-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HILLS THERAPEUTIC RIDING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "HEILI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CERTIFIED REHABILITATION COUNSELOR",
        "authorized_official_telephone_number": "770-371-7531",
        "authorized_official_credential": "CRC"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "GA",
            "license": "00116431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.