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JUBILEE'S SAFE HAVEN NPI 1275271850


NPI Information

NPI: 1275271850
Provider Name: JUBILEE'S SAFE HAVEN

Doing Business As: JUBILEE'S SAFE HAVEN INC.

Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
1717 N ST NW STE 1
WASHINGTON, DC
ZIP 20036
Phone: (202) 987-8143
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JUBILEE'S SAFE HAVEN is an assisted living and mental illness assisted living facility in Washington, DC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. JUBILEE'S SAFE HAVEN NPI is 1275271850. The provider is registered as an organization entity type.
The provider Is Doing Business As Jubilee's Safe Haven Inc..

The provider's business location address is:

1717 N ST NW STE 1
WASHINGTON, DC
ZIP 20036-827
Phone: (202) 987-8143

The provider's authorized official is Tyena Haskell .
The authorized official title is Executive Director and has the following contact phone number (202) 987-8143.

The enumeration date for this NPI number is 5/24/2022 and was last updated on 5/31/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

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: 11/14/2023

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