The Haven of Harlem

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

THE HAVEN OF HARLEM

Practice address

285 Fairview Dr
Harlem, GA 30814-5096

Phone

(706) 556-9933

Fax

(706) 556-9953

NPI assigned

Mar 7, 2014

Last updated

Mar 7, 2014By 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. Benjamin Clayton Huff

Title

President

Phone

(706) 556-9933

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1700202306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 FAIRVIEW DR",
            "address_2": "PO BOX 969",
            "city": "HARLEM",
            "state": "GA",
            "postal_code": "308145096",
            "telephone_number": "706-556-9933",
            "fax_number": "706-556-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 FAIRVIEW DR",
            "city": "HARLEM",
            "state": "GA",
            "postal_code": "308145096",
            "telephone_number": "706-556-9933",
            "fax_number": "706-556-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAVEN OF HARLEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-556-9933",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise D Silver, PT
• Southerland Clark Enterprises LLC (Academy Lifelong Learning (ALL))
• Phuong Quynh Ngoc Spicer, D.M.D.
• Ebony Nichole Story, PMHNP, APRN
• Brieanna Nicole Sturgis, DPT
• West Forrest
• Arianna Williams, SA-C
• Your Story Medical Solution LLC

• Adult Day Care Clinic/Center in Harlem, GA
• Providers in Harlem, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.