SAFE HAVEN CARE, LLC (NPI# 1104000272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104000272 |
| Entity Type | Organization |
| Organization Name | SAFE HAVEN CARE, LLC |
| Practice Address |
9613 Plank Road Suite O Clinton LA 70722 |
| Mailing Address |
Po Box 8304 Clinton LA 70722-1304 |
| Practice Telephone | 2256831230 |
| Practice Fax Number | 2256839691 |
| Mailing Telephone | 2256831230 |
| Mailing Fax Number | 2256839691 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |
| Authorized Official Name | MRS. MARY BANKS KENERSON (DIRECTOR OF PROGRAMMING) |
| Authorized Official Telephone | 2257742943 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
20031 | LA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871777037 | Safe Haven Care, LLC | Custodial Care Facility | 9613 Plank Road, Suite O, Clinton, LA 70722 | 2007-12-24 |
| 1710164934 | Safe Haven Care, LLC | Technician | 9613 Plank Road, Suite O, Clinton, LA 70722 | 2008-01-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SAFE HAVEN CARE, LLC | 1005 Nw Galveston Ave Ste 230, Bend, OR 97703 |
| Street Address |
9613 PLANK ROAD SUITE O |
| City | CLINTON |
| State | LA |
| Zip Code | 70722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871777037 | Safe Haven Care, LLC | Custodial Care Facility | 9613 Plank Road, Suite O, Clinton, LA 70722 | 2007-12-24 |
| 1710164934 | Safe Haven Care, LLC | Technician | 9613 Plank Road, Suite O, Clinton, LA 70722 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400025 | Just Health | Clinic/Center | 11315 Bank St, Clinton, LA 70722 | 2020-06-02 |
| 1609495464 | Just Health | Clinic/Center | 11312 Spring St, Clinton, LA 70722 | 2020-04-13 |
| 1023660248 | Visions Therapeutic Family Services | Counselor | 11504 Liberty Road, Clinton, LA 70722 | 2019-07-09 |
| 1497282743 | Sharon Vessel | Counselor | 10105 Plank Road Suite A, Clinton, LA 70722 | 2017-05-17 |
| 1417409152 | Ursula Shaw | Community/Behavioral Health | 10105 Plank Rd. Ste A, Clinton, LA 70722 | 2016-10-28 |
| 1235483777 | Excel Health Systems LLC | Durable Medical Equipment & Medical Supplies | 10735 Roosevelt Street, Clinton, LA 70722 | 2012-11-06 |
| 1053618413 | Lisa Hawkins Sorrel | Nurse Practitioner | 11323 Church St, Clinton, LA 70722 | 2011-02-22 |
| 1396063426 | Tony Edward Matthews Jr. | Technician | 11406 Spring Street, Clinton, LA 70722 | 2010-05-13 |
| 1144466061 | Lashica Cheronda Hilliard | Registered Nurse | 11990 Jackson St., Clinton, LA 70722 | 2008-12-23 |
| 1992951297 | Primary Care Providers for A Healthy Feliciana, Inc. | Clinic/Center | 10410 Plank Road, Clinton, LA 70722 | 2008-08-18 |
| Find all providers in zip 70722 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1215315528 | Serenityhomecare | Custodial Care Facility | 1512 Clinton Raymond Rd, Clinton, MS 39056-5400 | 2015-05-07 |
| 1871777037 | Safe Haven Care, LLC | Custodial Care Facility | 9613 Plank Road, Suite O, Clinton, LA 70722 | 2007-12-24 |
| 1447452024 | Duplin Sampson Group Homes, Inc. | Custodial Care Facility | 300 Jacobs St, Clinton, NC 28328-3539 | 2007-06-05 |
| 1659580470 | Pine Acre Family Care Home #2 | Custodial Care Facility | 156 Pine Acres Ln, Clinton, NC 28328-7390 | 2007-05-21 |
| 1295943140 | Pine Acre Family Care Home #1 | Custodial Care Facility | 186 Pine Acres Ln, Clinton, NC 28328-7390 | 2007-05-21 |
| 1669551438 | Lutheran Home of Central New York | Custodial Care Facility | 108 Utica Rd, Clinton, NY 13323-1548 | 2006-11-03 |
| 1952965667 | K & J Care Enterprises, Inc. | Custodial Care Facility | 614 S Main St, Clinton, MO 64735-2620 | 2019-04-28 |
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| 1558726828 | Halcyon Rehab | Custodial Care Facility | 36020 Wilmington Ave, Denham Springs, LA 70706-1523 | 2015-12-30 |
| 1639548993 | Trusting Hands Home Care LLC | Custodial Care Facility | 3504 Government St, Suite A, Alexandria, LA 71302-3300 | 2015-09-17 |
| 1902280506 | A Moment In Time Patient Care Services. LLC | Custodial Care Facility | 3085 Keithville Kingston Rd, Keithville, LA 71047-8360 | 2015-07-13 |
| 1265814891 | Westbank Lighthouse | Custodial Care Facility | 1712 Holiday Dr, New Orleans, LA 70114-3456 | 2015-06-19 |
| 1417349390 | Caring Hearts Wellness LLC | Custodial Care Facility | 62250 Westend Blvd, 120, Slidell, LA 70461-5622 | 2015-03-02 |
| 1790175578 | Killcrease Home Care | Custodial Care Facility | 11239 Highway 143, Farmerville, LA 71241-5535 | 2015-01-30 |
| 1295151538 | Caregiver Homes of Louisiana, Inc | Custodial Care Facility | 7884 Office Park Boulevard, Baton Rouge, LA 70809 | 2014-03-11 |
| 1679846612 | Wonderful Care Services LLC | Custodial Care Facility | 610 Randall St, Bastrop, LA 71220-4322 | 2012-02-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.