Royal Haven Home Care Services

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

ROYAL HAVEN HOME CARE SERVICES

Practice address

6855 Highway 16 Ste 102
Senoia, GA 30276-8604

Phone

(678) 876-2724

NPI assigned

Feb 27, 2024

Organization subpart

No

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

Authorized official

Name

Ivy BaisieNPI 1982461604

Title

Ceo

Phone

(678) 876-2724

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivy Baisie

  • Attendant Care Provider
  • Senoia, GA
  • NPI 1982461604

  Adult Companion

  NPD Authorized official

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1326804170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ELLABELLE CT",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302766203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 HIGHWAY 16 STE 102",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302768604",
            "telephone_number": "678-876-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL HAVEN HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "BAISIE",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-876-2724"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Senoia, GA
• Providers in Senoia, GA by specialty
• Personal Care Attendant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.