NPIMap

Organization Active NPI

Daily Haven Inc.

  • Adult Day Care Clinic/Center
  • Conyers, GA
National Provider Identifier
1780321034
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
DAILY HAVEN INC.
Practice address
1105 N Main St NW
Conyers, GA 30012-4352
Phone
(770) 761-8889
Fax
(770) 761-0855
NPI assigned
May 18, 2022
Last updated
May 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Suzann Irene MaughonNPI 1043349004
Title
Owner/C.E.O
Phone
(770) 761-8889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

1105 N Main St NW
Conyers, GA 30012-4352

Mailing address

PO Box 1084
Conyers, GA 30012-1084
Phone (770) 761-8889

Other identifiers 2

IdentifierTypeStateIssuer
000669446AMedicaidGA
000669446BMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dailyhavenadh@hotmail.com Direct

National Provider Directory

National Provider Directory

Locations

1105 N Main St NW
Conyers, GA 30012
Phone (770) 761-8889

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1780321034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1084",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300121084",
            "telephone_number": "770-761-8889",
            "fax_number": "770-761-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N MAIN ST NW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300124352",
            "telephone_number": "770-761-8889",
            "fax_number": "770-761-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAILY HAVEN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "MAUGHON",
        "authorized_official_first_name": "SUZANN",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER/C.E.O",
        "authorized_official_telephone_number": "770-761-8889"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000669446A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000669446B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dailyhavenadh@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Primary compnay email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1105 N Main St NW",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300124352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.