Active NPI
Reliant Haven Healthcare
- Community Health Registered Nurse
- Atlanta, GA
National Provider Identifier
1841800901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- Legal business name
- RELIANT HAVEN HEALTHCARE
- Practice address
- 5721 Suffex Green LN
Atlanta, GA 30339-6117 - Phone
- (347) 843-9927
- NPI assigned
- Aug 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sabine Prophile, REGISTERED NURSE
- Title
- Director of Nursing
- Phone
- (347) 843-9927
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X | |||
| Inpatient Hospice | 315D00000X | |||
| Transportation Broker | 347E00000X | |||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
5721 Suffex Green LN
Atlanta, GA 30339-6117
Mailing address
5721 Suffex Green LN
Atlanta, GA 30339-6117
Phone (347) 843-9927
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596499200000",
"number": "1841800901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5721 SUFFEX GREEN LN",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303396117",
"telephone_number": "347-843-9927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5721 SUFFEX GREEN LN",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303396117",
"telephone_number": "347-843-9927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIANT HAVEN HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-04",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A",
"authorized_official_last_name": "PROPHILE",
"authorized_official_first_name": "SABINE",
"authorized_official_title_or_position": "DIRECTOR OF NURSING",
"authorized_official_telephone_number": "347-843-9927",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Community Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": null,
"license": null,
"primary": false
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.