# HEART'S HAVEN HOME CARE

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

## Provider details

- **NPI number:** 1972342087
- **Authorized official:** MISS ALEXIS WILLIAMS (CEO)
- **Authorized official phone:** (706) 664-4608

## Contact information

- **Practice address:** 1905 GORDON HWY STE D, AUGUSTA, GA 30909-4406
- **Practice address phone:** (706) 664-4608
- **Practice address fax:** (706) 786-0771
- **Mailing address:** 1905 GORDON HWY STE D, AUGUSTA, GA 30909-4406
- **Mailing address phone:** (706) 664-4608
- **Mailing address fax:** (706) 786-0771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | — | — |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 05/20/2024
- **Last updated:** 12/05/2024