NPIMap

Organization Active NPI

Safe Haven Lenox Park

  • Adult Day Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1235406711
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SAFE HAVEN LENOX PARK
Practice address
1137 Lynmoor Dr NE
Atlanta, GA 30319-4125
Phone
(404) 235-7733
Fax
(404) 235-4050
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Mr. Arkadiy Yakubov
Title
Director
Phone
(404) 235-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1137 Lynmoor Dr NE
Atlanta, GA 30319-4125

Mailing address

1137 Lynmoor Dr NE
Atlanta, GA 30319-4125
Phone (404) 235-7733

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1235406711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 LYNMOOR DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303194125",
            "telephone_number": "404-235-7733",
            "fax_number": "404-235-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 LYNMOOR DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303194125",
            "telephone_number": "404-235-7733",
            "fax_number": "404-235-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN LENOX PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "ARKADIY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-235-7733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.