Juanitas Haven

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

JUANITAS HAVEN

Practice address

2413 Bluff Creek Overlook
Douglasville, GA 30135-8101

Phone

(205) 451-3533

NPI assigned

Jun 27, 2022

Organization subpart

No

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

Authorized official

Name

Monica Peck, RN

Title

Nurse

Phone

(205) 451-3533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1508598707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 BLUFF CREEK OVERLOOK",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358101",
            "telephone_number": "205-451-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 BLUFF CREEK OVERLOOK",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358101",
            "telephone_number": "205-451-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUANITAS HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "205-451-3533",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Kathleen Jones, FNP.C
• Kamera Alexis Jordan, NP
• Quanella A Jordan
• Robert Jordan
• Journey's Family Services, LLC
• Tanya Michelle Judkins
• Edward Paul Justice, CCC-A
• K&W Care Homes
• Soccoh A Kabia, M.D.
• Kaiser Foundation Health Plan of Georgia, Inc. (Kaiser Permanente Douglasville)

• Nursing Care Agency in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.