NPIMap

Organization Active NPI

Forever Harmony PCH Inc

  • Adult Care Home Facility
  • Canton, GA
National Provider Identifier
1871100412
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
FOREVER HARMONY PCH INC
Practice address
205 Providence Walk CT
Canton, GA 30114-8622
Phone
(770) 224-8760
Fax
(770) 224-8760
NPI assigned
Sep 28, 2020
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Tuesday Payne
Title
Administrator/Ceo
Phone
(678) 817-2717

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU
Physical Disabilities Residential Treatment Facility 320700000X NU
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU
Respite Care 385H00000X NU
Child Mental Illness Respite Care 385HR2055X NU
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU
Child Physical Disabilities Respite Care 385HR2065X NU

Addresses

Primary practice location

205 Providence Walk CT
Canton, GA 30114-8622

Mailing address

205 Providence Walk CT
Canton, GA 30114-8622
Phone (770) 224-8760

Other identifiers 1

IdentifierTypeStateIssuer
PCH008774OtherGADCH PERMIT NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1871100412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PROVIDENCE WALK CT",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148622",
            "telephone_number": "770-224-8760",
            "fax_number": "770-224-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PROVIDENCE WALK CT",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148622",
            "telephone_number": "770-224-8760",
            "fax_number": "770-224-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER HARMONY PCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "TUESDAY",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "678-817-2717"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCH PERMIT NUMBER",
            "identifier": "PCH008774",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.