Active NPI
Heart'S Haven Home Care
- In Home Supportive Care Agency
- Augusta, GA
National Provider Identifier
1972342087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.