MARYS SAFE HAVEN LLC NPI 1780544379

NPI Information

  • NPI: 1780544379
  • Provider Name: MARYS SAFE HAVEN LLC
  • Classification: Contractor - 171W00000X
  • Entity Type: Organization
  • Address: 755 MOUNTAIN RIDGE WAY
    LITHONIA, GA
    ZIP 30058
  • Phone: (470) 432-6992

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NPI Details

MARYS SAFE HAVEN LLC is a contractor in Lithonia, GA. The provider is for the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status. MARYS SAFE HAVEN LLC NPI is 1780544379. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

755 MOUNTAIN RIDGE WAY
LITHONIA, GA
ZIP 30058-923
Phone: (470) 432-6992

The provider's authorized official is Latonya Mcqueen .
The authorized official title is Ceo and has the following contact phone number (470) 432-6992.

The enumeration date for this NPI number is 11/15/2025 and was last updated on 11/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2172A00000XDriverNo
3174200000XMealsNo
4177F00000XLodgingNo
5376J00000XHomemakerNo
6376K00000XNurse's AideNo
7374U00000XHome Health AideNo
8171W00000XContractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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