Organization Active NPI

Heart'S Haven Home Care

  • In Home Supportive Care Agency
  • Augusta, GA
National Provider Identifier
1972342087
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEART'S HAVEN HOME CARE
Practice address
1905 Gordon Hwy Ste D
Augusta, GA 30909-4406
Phone
(706) 664-4608
Fax
(706) 786-0771
NPI assigned
May 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Miss Alexis Williams
Title
Ceo
Phone
(706) 664-4608

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Non-emergency Medical Transport (VAN) 343900000X
Respite Care 385H00000X

Addresses

Primary practice location

1905 Gordon Hwy Ste D
Augusta, GA 30909-4406

Mailing address

1905 Gordon Hwy Ste D
Augusta, GA 30909-4406
Phone (706) 664-4608

National Provider Directory

National Provider Directory

Locations

1905 Gordon Hwy
Ste D
Augusta, GA 30909
Phone (706) 664-4608

601 Broad St
Ste A2
Augusta, GA 30901

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1972342087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 GORDON HWY STE D",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094406",
            "telephone_number": "706-664-4608",
            "fax_number": "706-786-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 GORDON HWY STE D",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094406",
            "telephone_number": "706-664-4608",
            "fax_number": "706-786-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART'S HAVEN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-664-4608",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.