Haven Community Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HAVEN COMMUNITY HEALTH

Practice address

7397 Prairie Valley CT
Midland, GA 31820-4457

Phone

(706) 761-0886

NPI assigned

Feb 11, 2021

Last updated

Feb 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan David Baker, RN

Title

Administrator

Phone

(706) 761-0886

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1295327104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7397 PRAIRIE VALLEY CT",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318204457",
            "telephone_number": "706-761-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7397 PRAIRIE VALLEY CT",
            "city": "MIDLAND",
            "state": "GA",
            "postal_code": "318204457",
            "telephone_number": "706-761-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-761-0886",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Ragland Fry, LPC
• Casandra Sue Gammage, NP
• Allegra Gassert-Deman
• Steven Granich, DSW
• Elvis Greene
• Airianna Hernandez
• Kristina A Hernandez, LPC
• Dana Lee Hess, DMD
• Cassandra Humphery
• Orciola Jessie

• Community/Behavioral Health Agency in Midland, GA
• Providers in Midland, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.