MARYS SAFE HAVEN LLC
NPI 1780544379
Contractor in Lithonia, GA
- Organization
- Contractor
About MARYS SAFE HAVEN LLC
This page provides the complete NPI Profile along with additional information for Marys Safe Haven Llc, a provider established in Lithonia, Georgia operating as a Contractor. The healthcare provider is registered in the NPI registry with number 1780544379 assigned on November 2025. The practitioner's primary taxonomy code is 171W00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Marys Safe Haven Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Latonya Mcqueen (Ceo)
- NPI
- 1780544379 Verify this NPI
- Provider Name
- MARYS SAFE HAVEN LLC
- Entity Type
- Organization
- Location Address
- 755 MOUNTAIN RIDGE WAY LITHONIA, GA 30058
- Location Phone
- (470) 432-6992
- Mailing Address
- 755 MOUNTAIN RIDGE WAY LITHONIA, GA 30058
- Mailing Phone
- (470) 432-6992
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-15-2025
- Last Update Date
- 11-15-2025
- Code Navigator
Location Map
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
Contractor
- Taxonomy Code
- 171W00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 2 | 172A00000X | Other Service Providers | Driver | |
| 3 | 174200000X | Other Service Providers | Meals | |
| 4 | 177F00000X | Other Service Providers | Lodging | |
| 5 | 374U00000X | Nursing Service Related Providers | Home Health Aide | |
| 6 | 376J00000X | Nursing Service Related Providers | Homemaker | |
| 7 | 376K00000X | Nursing Service Related Providers | Nurse's Aide |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780544379, enumerated as an "organization" on November 15, 2025.
The provider is located at 755 MOUNTAIN RIDGE WAY LITHONIA, GA 30058 and the phone number is (470) 432-6992.
Contractor with taxonomy code 171W00000X.
