South Haven Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SOUTH HAVEN INC

Practice address

3985B Flat Shoals Rd
Union City, GA 30291-1588

Phone

(770) 996-9292

NPI assigned

Sep 6, 2024

Organization subpart

No

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

Authorized official

Name

Vicki HarpsNPI 1447085659

Title

Provider

Phone

(470) 962-0930

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Vicki Harps, R.N. B.S.N

  • Registered Nurse
  • Union City, GA
  • NPI 1447085659
  NPD Authorized official

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1548095789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985B FLAT SHOALS RD",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302911588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985B FLAT SHOALS RD",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302911588",
            "telephone_number": "770-996-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HAVEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "HARPS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "470-962-0930"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danyell Smith
• Nicole Lilia Smith, DMD
• Turnmeika Smith
• Yvonne L Smith, MD
• South Fulton Dental Care, Inc.
• Southside Medical Care
• Southside Medical Care II LLC
• Thelma Teresa Spears
• Laritka Sutton
• Naamau Tahiru

• Assisted Living Facility in Union City, GA
• Providers in Union City, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.