HAVEN DEVELOPMENTAL CARE (NPI# 1902189723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902189723 |
| Entity Type | Organization |
| Organization Name | HAVEN DEVELOPMENTAL CARE |
| Practice Address |
4794 Michael Jay St Snellville GA 30039-7630 |
| Practice Telephone | 7707613402 |
| Practice Fax Number | 7706794561 |
| Mailing Telephone | 7707613402 |
| Mailing Fax Number | 7706794561 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |
| Authorized Official Name | MS. CAROL AGATHA TRIM-BAGOT (DIRECTOR/CEO) |
| Authorized Official Telephone | 7707613402 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CLA000738 | GA | Agencies |
| Street Address |
4794 MICHAEL JAY ST |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30039-7630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593819 | David Spellings | Physical Therapist | 3991 Us-78, Suite 200, Snellville, GA 30039 | 2020-09-23 |
| 1245849785 | Tanner Brown | Physical Therapist | 3991 Us-78 Suite 200, Snellville, GA 30039 | 2020-07-30 |
| 1215571294 | Ora Gylbryne Brown | Behavioral Analyst | 4189 White Road, Snellville, GA 30039 | 2019-11-01 |
| 1780174953 | Kolawole J Adeyeye | Nursing Care | 4729 Polly Pl, Snellville, GA 30039 | 2018-05-14 |
| 1255820007 | Bacchus Private Home Care LLC | Home Health | 4925 Bridle Point Parkway, Snellville, GA 30039 | 2018-05-08 |
| 1508368051 | Sovereign Medical Services, Inc | Community/Behavioral Health | 3806 Wood Hollow Way, Snellville, GA 30039 | 2018-03-01 |
| 1356865265 | Shanique Griffiths | Counselor | 2580 Broadmoor Ct, Snellville, GA 30039 | 2017-08-01 |
| 1265952584 | Miracles In Motion Foundation | Case Management | 4276 Burgomeister Place, Snellville, GA 30039 | 2017-06-27 |
| 1194245704 | Loliya Joy Stewart | Dentist | 3966 Annistown Rd, Snellville, GA 30039 | 2017-06-24 |
| 1023543014 | Natasha Marie Smith | Nurse's Aide | 2423 Northbrook Rd, Snellville, GA 30039 | 2017-04-27 |
| Find all providers in zip 30039 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063737 | Therapeutic Resolutions LLC | Community/Behavioral Health | 2330 Scenic Hwy S Ste 225, Snellville, GA 30078-3115 | 2020-04-27 |
| 1235786419 | Preventative Health & Wellness, LLC | Community/Behavioral Health | 2310 Henry Clower Blvd Ste A, Snellville, GA 30078-5776 | 2019-08-21 |
| 1124522818 | Wecare Counseling Services, LLC | Community/Behavioral Health | 2330 Scenic Hwy S Ofc Suite, Snellville, GA 30078-3115 | 2018-03-19 |
| 1508368051 | Sovereign Medical Services, Inc | Community/Behavioral Health | 3806 Wood Hollow Way, Snellville, GA 30039 | 2018-03-01 |
| 1841736444 | M.a.c. Youth Services | Community/Behavioral Health | 2365 Thackery Rd, Snellville, GA 30078-4141 | 2017-01-06 |
| 1871955781 | Art of Therapy Wellness Center | Community/Behavioral Health | 4598 Ash Tree St, Snellville, GA 30039-3361 | 2016-03-22 |
| 1235560269 | C2 It, LLC | Community/Behavioral Health | 3231 Lenora Church Rd, Snellville, GA 30039-4803 | 2013-12-02 |
| 1417297425 | A Golden Life Personal Care Home, LLC | Community/Behavioral Health | 3153 Dove Ct, B, Snellville, GA 30078-3652 | 2013-02-28 |
| 1427304633 | Sunshine Dreamassisted Living LLC | Community/Behavioral Health | 4841 Lenora Church Rd, Snellville, GA 30039-7707 | 2012-07-25 |
| 1164731576 | A Place of Serenity, Inc. | Community/Behavioral Health | 3755 Cherie Glen Rd, Snellville, GA 30039-4311 | 2010-10-03 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30039 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.