SAFE HAVEN RESIDENTIAL CARE NPI 1043909211

NPI Information

  • NPI: 1043909211
  • Provider Name: SAFE HAVEN RESIDENTIAL CARE
  • Classification: Technician - 3747P1801X
  • Specialization: Personal Care Attendant
  • Entity Type: Organization
  • Doing Business As: SAFE HAVEN RESIDENTIAL CARE LLC
  • Address: 317 BOERUM CT
    VA BEACH, VA
    ZIP 23452
  • Phone: (757) 802-0441

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NPI Details

SAFE HAVEN RESIDENTIAL CARE is a personal care attendant technician in Va Beach, VA. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards SAFE HAVEN RESIDENTIAL CARE NPI is 1043909211. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Safe Haven Residential Care Llc.

The provider's business location address is:

317 BOERUM CT
VA BEACH, VA
ZIP 23452-859
Phone: (757) 802-0441

The provider's authorized official is Johnel Bond .
The authorized official title is Owner and has the following contact phone number (757) 802-0441.

The enumeration date for this NPI number is 5/3/2023 and was last updated on 10/14/2024.

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
13747P1801XTechnicianPersonal Care AttendantYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1HCO22294MEDICAIDVIRGINIA

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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