Jimmy Simpson Foundation, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

JIMMY SIMPSON FOUNDATION, INC.

Doing business as

Dayhaven

Practice address

9558 N Highway 27
Rock Spring, GA 30739-2113

Phone

(706) 375-9520

Fax

(706) 375-9521

NPI assigned

Oct 19, 2006

Last updated

Aug 22, 2020By 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

Ms. Vickie S. Hodge

Title

Executive Director

Phone

(706) 375-9520

Specialties & licenses 1

Addresses

Other names 1

• Dayhaven Doing business as

Tax ID family

Dayhaven2 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.

• Jimmy Simpson Foundation, Inc.

  dba Safehaven

  • Custodial Care Facility
  • Rock Spring, GA
  • NPI 1922124775
  NPD tax ID

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801978929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "ROCK SPRING",
            "state": "GA",
            "postal_code": "307390069",
            "telephone_number": "706-375-9520",
            "fax_number": "706-375-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9558 N HIGHWAY 27",
            "city": "ROCK SPRING",
            "state": "GA",
            "postal_code": "307392113",
            "telephone_number": "706-375-9520",
            "fax_number": "706-375-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY SIMPSON FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-375-9520",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayhaven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Michelle Foley
• Stacey Gilbreath
• Jennifer Nicole Hennon
• Highland Rivers Community Service Board
• Independent Physical Therapy of Ga, LLC
• Jimmy Simpson Foundation, Inc. (Safehaven)
• Lookout Mountain Community Service (Cassandra Waters)
• Lookout Mountain Community Service (Amber Cruise)
• Lookout Mountain Community Services
• MH Health Care Services, PC

• Adult Day Care Clinic/Center in Rock Spring, GA
• Providers in Rock Spring, 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 Aug 22, 2020; 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.