Haven Care, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

PCH006808 Issued in GA

Legal business name

HAVEN CARE, LLC

Practice address

11670 Kades TRL
Hampton, GA 30228-4012

Phone

(404) 841-8099

Fax

(404) 284-8395

NPI assigned

Mar 30, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Sherry Gooddine

Title

Ceo

Phone

(404) 841-8099

Specialties & licenses 2

Addresses

Tax ID family

Haven Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Haven Care LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Hampton, GA
  • NPI 1447697131
  NPD tax ID

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1720354012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11670 KADES TRL",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302284012",
            "telephone_number": "404-841-8099",
            "fax_number": "404-284-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11670 KADES TRL",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302284012",
            "telephone_number": "404-841-8099",
            "fax_number": "404-284-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "GOODDINE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-841-8099",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "PCH006808",
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "GA",
            "license": "PCH006808",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rasheda Renee Harris, NP
• Chasma Hart, RN
• Lerae Harwell
• Haven Care LLC
• Haven Care, LLC
• Robert Haynes, RPH
• Shakita Haywood
• Healthcare Authority
• Heart Felt Counseling Center
• Hearts of Care, LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hampton, GA
• Providers in Hampton, GA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.