NPI age
2 years
Enumerated 2023-11-01
● Active Type 2 · Organization
Haven Hospice And Palliative Care Of Georgia, Llc
Haven Hospice And Palliative Care Of Georgia, Llc is 1 of 591 hospice care, community based organizations in Georgia.
Primary specialty
Hospice Care, Community Based
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tidwell
Managing Partner
Last NPPES update
2023-11-01
Source: monthly bulk 2026-05
How this organization compares
Across 591 active hospice care, community based providers in Georgia.
NPI age
2 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-11Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
2900 Chamblee Tucker Rd, Bldg 14, Suite 250
Atlanta, GA 30341
Mailing address
2900 Chamblee Tucker Rd, Bldg 14, Suite 250
Atlanta, GA 30341
Authorized official
Jeri Tidwell
Managing Partner
📞 7708828174
Individual providers at this organization
10 individual providers on file at this primary practice address.
- Jameel Durrah Non-emergency Medical Transport (VAN) NPI 1730958786
- Aqsa Farooqui, LPC Counselor NPI 1235392077
- Haley Kemp, AGPCNP-BC Nurse Practitioner NPI 1992244354
- Kathleen McKinney, L.P.C. Counselor NPI 1518101591
- Alexandra Rooks Hughes, MA, LPC Counselor NPI 1952517427
- Kim Tate, MS, NCC, LAPC Counselor NPI 1609052810
- Arcella Trimble, PH.D. Psychologist NPI 1851636633
- Michele Wagner, CSW Social Worker NPI 1083908735
- Jane Walter, LPC Counselor NPI 1396879052
- Ursula Wright, LCSW Social Worker NPI 1558802173
Specialties
-
Hospice Care, Community Based PrimaryDefinition to come...
Practice context
Multi-provider organization. 10 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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