SAFE HAVEN CARE SERVICES LLC NPI 1053949602

NPI Information

NPI: 1053949602
Provider Name: SAFE HAVEN CARE SERVICES, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
200 KANAWHA TER STE 1
SAINT ALBANS, WV
ZIP 25177
Phone: (304) 755-1769
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SAFE HAVEN CARE SERVICES, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Saint Albans, WV. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SAFE HAVEN CARE SERVICES, LLC NPI is 1053949602. The provider is registered as an organization entity type.

The provider's business location address is:

200 KANAWHA TER STE 1
SAINT ALBANS, WV
ZIP 25177-808
Phone: (304) 755-1769
Fax: (855) 843-9349

The provider's authorized official is Michael Allen Ross .
The authorized official title is Owner/ceo and has the following contact phone number (304) 755-1769.

The enumeration date for this NPI number is 3/30/2020 and was last updated on 3/30/2020.

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	Primary
1	385HR2065X	Respite Care	Respite Care, Physical Disabilities, Child	No
2	251B00000X	Case Management		No
3	251C00000X	Day Training, Developmentally Disabled Services		No
4	251E00000X	Home Health		No
5	251S00000X	Community/Behavioral Health		No
6	253Z00000X	In Home Supportive Care		No
7	261QD1600X	Clinic/Center	Developmental Disabilities	No
8	261QP2000X	Clinic/Center	Physical Therapy	No
9	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No
10	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		Yes

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: 5/5/2024

NPI Synchronization or Removal

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