SAFE HAVEN HOUSE INC (NPI# 1558768531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558768531 |
| Entity Type | Organization |
| Organization Name | SAFE HAVEN HOUSE INC |
| Other Organization Name | LEVEL UP COMMUNITY SERVICE PROGRAM LLC |
| Practice Address |
6754 Grey Rock Way Lithonia GA 30058 |
| Mailing Address |
Po Box 784 Lithonia GA 30058 |
| Practice Telephone | 6788490505 |
| Mailing Telephone | 6788490505 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| Authorized Official Name | DR. DEBORAH SILLS (CEO) |
| Authorized Official Telephone | 6788490505 |
| Authorized Official Credential | PHD LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Level Up Community Service Program LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831581818 | Safe Haven House Inc | Community/Behavioral Health | 6754 Grey Rock Way, Lithonia, GA 30058-3077 | 2015-02-26 |
| 1215334214 | Safe Haven House Inc | Community/Behavioral Health | 6754 Grey Rock Way, Lithonia, GA 30058 | 2014-11-20 |
| Street Address |
6754 GREY ROCK WAY |
| City | LITHONIA |
| State | GA |
| Zip Code | 30058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942859319 | Darianne Brown | Behavior Technician | 6754 Grey Rock Way, Lithonia, GA 30058-3077 | 2019-09-09 |
| 1851948574 | Exceptionally Yours Autism and Educational Services LLC | Social Worker | 6754 Grey Rock Way, Lithonia, GA 30058-3077 | 2019-08-19 |
| 1831581818 | Safe Haven House Inc | Community/Behavioral Health | 6754 Grey Rock Way, Lithonia, GA 30058-3077 | 2015-02-26 |
| 1215334214 | Safe Haven House Inc | Community/Behavioral Health | 6754 Grey Rock Way, Lithonia, GA 30058 | 2014-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603606 | Sherenda Lashawn Ellis | Contractor | 1859 Petite Lane, Lithonia, GA 30058 | 2020-09-09 |
| 1477186807 | Reset Recovery Health Center LLC | Substance Abuse Rehabilitation Facility | 6978 Main St, Lithonia, GA 30058 | 2020-02-13 |
| 1346726122 | Myorganics | Spec/Tech, Pathology | 5910 Shadow Rock Dr, Lithonia, GA 30058 | 2018-07-16 |
| 1699251884 | Enriching Medical Transport | Ambulance | 2260 Lithonia Industrial Blvd., Ste N-b, Lithonia, GA 30058 | 2018-07-11 |
| 1841789914 | Milner Vein and Vascular LLC | Surgery | 5700 Hillandale Dr Ste 150, Lithonia, GA 30058 | 2018-05-04 |
| 1215451265 | Brittany Rawlings | Home Health | 6127 Howell Ridge, Lithonia, GA 30058 | 2017-08-01 |
| 1982125571 | Bella Intellectum, LLC | Technician/Technologist | 6803 Edmonton Ct., Lithonia, GA 30058 | 2017-07-05 |
| 1528589397 | Arlene Dennis | Registered Nurse | 6022 Arnor Links Road, Lithonia, GA 30058 | 2017-07-03 |
| 1417401746 | Two Caring Hands Private Home Care | Home Health | 1959 Singers Way, Lithonia, GA 30058 | 2016-08-03 |
| 1518347467 | Ortho Injury and Wellness Center Inc. | Clinic/Center | 6148 A Covington Hwy, Lithonia, GA 30058 | 2015-06-05 |
| Find all providers in zip 30058 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205470143 | Capoe LLC | Community/Behavioral Health | 5609 Fox Den Trl, Lithonia, GA 30038-1602 | 2019-11-04 |
| 1174093439 | United Health Care Resource Service LLC | Community/Behavioral Health | 475 S Deshon Rd, Lithonia, GA 30058-9051 | 2018-11-29 |
| 1285091769 | Beth A Harper Rodriguez | Community/Behavioral Health | 993 Palmer Rd, Lithonia, GA 30058-9088 | 2016-01-28 |
| 1427414622 | Holistic Atlanta LLC | Community/Behavioral Health | 3247 Rockview Dr, Lithonia, GA 30038-3032 | 2016-01-05 |
| 1568886034 | Positive Life Directions, LLC | Community/Behavioral Health | 7137 Brecken Pl, Lithonia, GA 30058-2968 | 2014-02-04 |
| 1912247073 | Epic Empowering People In Communities, Inc. | Community/Behavioral Health | 585 Shadow Lake Dr, Lithonia, GA 30058-3261 | 2013-02-26 |
| 1033454533 | Naji Counseling and Consulting, LLC | Community/Behavioral Health | 978 Alford Xing, Lithonia, GA 30058-3149 | 2012-12-10 |
| 1043572761 | T&m Special Carem LLC | Community/Behavioral Health | 1947 Lown Farm Trl, Lithonia, GA 30058-8958 | 2012-06-08 |
| 1992000194 | M&e Counseling and Consulting | Community/Behavioral Health | 5028 Thompson Mill Rd, Lithonia, GA 30038-2335 | 2011-01-19 |
| 1205144391 | Grace Tlc Assisted Living LLC | Community/Behavioral Health | 6622 Chiapuk Ct, Lithonia, GA 30038-3150 | 2010-09-22 |
| Find all providers in LITHONIA | ||||
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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.