SAFE HAVEN LENOX PARK (NPI# 1235406711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235406711 |
| Entity Type | Organization |
| Organization Name | SAFE HAVEN LENOX PARK |
| Practice Address |
1137 Lynmoor Dr Ne Atlanta GA 30319-4125 |
| Practice Telephone | 4042357733 |
| Practice Fax Number | 4042354050 |
| Mailing Telephone | 4042357733 |
| Mailing Fax Number | 4042354050 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | MR. ARKADIY YAKUBOV (DIRECTOR) |
| Authorized Official Telephone | 4042357733 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
1137 LYNMOOR DR NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30319-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215556717 | Ronika Cotton | Marriage & Family Therapist | 2002 Summit Boulevard, Suite 300, Atlanta, GA 30319 | 2020-04-14 |
| 1093369548 | Gordon Peace | Physical Therapist | 705 Town Blvd Ne S 550, Atlanta, GA 30319 | 2019-08-01 |
| 1124682281 | Tiffany Nicole Blamble | Physician Assistant | 2235 Briarwood Way Ne, Brookhaven, GA 30319 | 2019-04-24 |
| 1891286860 | Sandy Springs Center for Urologic Surgery LLC | Clinic/Center | 1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319 | 2018-05-24 |
| 1578070355 | Aaron Knott | Physical Therapist | 4260 Peachtree Road, Atlanta, GA 30319 | 2018-01-03 |
| 1639683832 | Lauren Hamann | Physical Therapist | 3777 Peachtree Rd Ne Apt 933, Brookhaven, GA 30319 | 2017-11-27 |
| 1760993984 | Caroline M. Brackette | Counselor | 2002 Summit Blvd Ste 300, Brookhaven, GA 30319 | 2017-10-15 |
| 1700328713 | Christina Head | Counselor | 1350 Dresden Drive, Atlanta, GA 30319 | 2016-11-08 |
| 1528432572 | Hillary Allyn Olivier | Occupational Therapist | 3747 Peachtree Rd, Atlanta, GA 30319 | 2015-11-13 |
| 1285025304 | Karl Weismantel | Physical Therapy Assistant | 1000 Lenox Park Blvd, Atlanta, GA 30319 | 2015-02-11 |
| Find all providers in zip 30319 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750936498 | Sec of Georgia Corp | Clinic/Center | 5522 New Peachtree Rd Ste 128, Atlanta, GA 30341-2544 | 2019-08-08 |
| 1487126066 | Skylark Adh-atlanta LLC | Clinic/Center | 1705 Commerce Dr Nw Ste 200, Atlanta, GA 30318-3107 | 2018-12-20 |
| 1093204190 | Fulton County Government | Clinic/Center | 677 Fairburn Rd Nw, Atlanta, GA 30331-1423 | 2018-05-03 |
| 1366963019 | Summerset Assisted Living Inc. | Clinic/Center | 3711 Benjamin E Mays Dr Sw, Atlanta, GA 30331-8600 | 2017-07-03 |
| 1568903805 | Skylark Adh-powers Ferry, LLC | Clinic/Center | 120 Interstate North Pkwy East, Se, Suite 420, Atlanta, GA 30339-2164 | 2017-03-20 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1952531956 | Mims Care Home | Clinic/Center | 1589 Mims St Sw, Atlanta, GA 30314-2255 | 2009-07-24 |
| 1114127883 | Stay Well Care Solutions, Inc. | Clinic/Center | 22 Executive Park Drive Ne, Atlanta, GA 30329-2206 | 2007-07-20 |
| 1477191773 | Prudent Senior Services of Georgia | Clinic/Center | 5522 New Peachtree Rd Ste 128, Atlanta, GA 30341-2544 | 2019-12-17 |
| 1609365709 | Fulton County Government | Clinic/Center | 515 John Wesley Dobbs Ave Ne, Atlanta, GA 30312-1329 | 2018-05-03 |
| Find all providers in ATLANTA | ||||
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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.