Organization Active NPI

Health Haven Care LLC

  • Home Health Agency
  • McDonough, GA
National Provider Identifier
1891659231
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTH HAVEN CARE LLC
Practice address
3208 Baylor Cir
McDonough, GA 30253-6164
Phone
(404) 421-2100
NPI assigned
Dec 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Mrs. Folashade Meduteni, RN,BSN
Title
Owner/Director
Phone
(404) 421-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

3208 Baylor Cir
McDonough, GA 30253-6164

Mailing address

3208 Baylor Cir
McDonough, GA 30253-6164
Phone (404) 421-2100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1891659231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 BAYLOR CIR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536164",
            "telephone_number": "404-421-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 BAYLOR CIR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536164",
            "telephone_number": "404-421-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH HAVEN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "MEDUTENI",
        "authorized_official_first_name": "FOLASHADE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "404-421-2100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.