National Provider Identifier Database

HAVEN CARE LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.


Contact Information

HAVEN CARE, LLC
11670 KADES TRL
HAMPTON, GA30228-4012
Phone: 404-841-8099
Fax: 404-284-8395
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X
Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for HAVEN CARE, LLC

NPI Number 1720354012
Legal business name
LBN
HAVEN CARE, LLC
Authorized official SHERRY GOODDINE - (CEO)
Entity Organization
Organization subpart No
Enumeration date 03/30/2012
Last updated 03/30/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: PCH006808

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for HAVEN CARE, LLC

There are currently no reviews for HAVEN CARE, LLC


NPIdb - Home
v2.201