# FOREVER HARMONY PCH INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871100412
- **Authorized official:** TUESDAY PAYNE (ADMINISTRATOR/CEO)
- **Authorized official phone:** (678) 817-2717

## Contact information

- **Practice address:** 205 PROVIDENCE WALK CT, CANTON, GA 30114-8622
- **Practice address phone:** (770) 224-8760
- **Practice address fax:** (770) 224-8760
- **Mailing address:** 205 PROVIDENCE WALK CT, CANTON, GA 30114-8622
- **Mailing address phone:** (770) 224-8760
- **Mailing address fax:** (770) 224-8760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 09/28/2020
- **Last updated:** 05/18/2026