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SAFE HAVEN RESIDENTIAL LIVING, LLC
NPI 1023960929
Custodial Care Facility - Adult Care Home in Mcdonough, GA

Active since February 12, 2026
2152 GRANT AVE, MCDONOUGH, GA 30252(414) 517-6970 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Safe Haven Residential Living, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAFE HAVEN RESIDENTIAL LIVING, LLC (NPI 1023960929) is a healthcare organization registered as an adult care home in Mcdonough, Georgia and active in the NPI registry since February 2026. The organization lists Nancy Jackson, Rn/owner, as its authorized official.

NPPES Registry Identity

NPI1023960929
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSAFE HAVEN RESIDENTIAL LIVING, LLC
Location Address2152 GRANT AVEMcdonough, GA 30252-7697
Mailing Address2152 Grant AveMcdonough, GA 30252-7697 · (414) 517-6970
Phone(414) 517-6970
Organization SubpartNo
Authorized OfficialNancy JacksonRn/owner · (414) 517-6970
Enumeration DateFebruary 12, 2026
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1023960929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
2152 GRANT AVE, Mcdonough, GA 30252
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Safe Haven Residential Living, LLC's NPI number?

The NPI number for Safe Haven Residential Living, LLC is 1023960929. It was assigned to this organization in the NPPES registry on February 12, 2026.

Where is Safe Haven Residential Living, LLC located?

Safe Haven Residential Living, LLC is located at 2152 Grant Ave, Mcdonough, GA 30252. The listed phone number is (414) 517-6970.

What is Safe Haven Residential Living, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Safe Haven Residential Living, LLC was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.