HARMONY HAVEN HOSPICE AND PALLIATIVE CARE
NPI 1023863842
Hospice Care, Community Based in Union City, GA

NPI Status: Active since April 23, 2024

Contact Information

4405 MALL BLVD STE 130
UNION CITY, GA
ZIP 30291
Phone: (404) 539-2527

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 11D2338139
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 02-04-2028

About HARMONY HAVEN HOSPICE AND PALLIATIVE CARE

This page provides the complete NPI Profile along with additional information for Harmony Haven Hospice And Palliative Care, a provider established in Union City, Georgia operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1023863842 assigned on April 2024. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Simone Johnson (Administrator)

NPI
1023863842
Provider Name
HARMONY HAVEN HOSPICE AND PALLIATIVE CARE
Entity Type
Organization
Location Address
4405 MALL BLVD STE 130 UNION CITY, GA 30291
Location Phone
(404) 539-2527
Mailing Address
4405 MALL BLVD STE 130 UNION CITY, GA 30291
Mailing Phone
(404) 539-2527
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2024
Last Update Date
08-05-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SIMONE JOHNSON

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(404) 769-2991

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2338139
Facility Type
Hospice
Certificate Effective Date
February 05, 2026
Certificate Expiration Date
February 04, 2028
Laboratory Director
ASHLEY O. BOWMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Harmony Haven Hospice And Palliative Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023863842, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 8 → 16 → 7 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 1 + 6 + 6 + 6 + 8 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1023863842.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023863842, enumerated as an "organization" on April 23, 2024.

The provider is located at 4405 MALL BLVD STE 130 UNION CITY, GA 30291 and the phone number is (404) 539-2527.

Hospice Care, Community Based with taxonomy code 251G00000X.