SAFE HAVEN HEALTH CARE LLC (NPI# 1619208709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619208709 |
| Entity Type | Organization |
| Organization Name | SAFE HAVEN HEALTH CARE LLC |
| Other Organization Name | SAFE HAVEN HOSPITAL OF POCATELLO |
| Practice Address |
1200 Hospital Way Pocatello ID 83201-2708 |
| Mailing Address |
2520 South 5th Ave Pocatello ID 83204 |
| Practice Telephone | 2082332570 |
| Practice Fax Number | 8888158472 |
| Mailing Telephone | 8002612443 |
| Mailing Fax Number | 8882226504 |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | ANGELA DAWN PASQUALE (CONTROLLER) |
| Authorized Official Telephone | 2085390751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 59 | ID | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1619208709 | 05 |
| Other Name | Type Code |
|---|---|
| Safe Haven Hospital of Pocatello | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831522762 | Safe Haven Health Care LLC | Skilled Nursing Facility | 706 S Main St, Hailey, ID 83333-8400 | 2013-08-14 |
| 1437480522 | Safe Haven Health Care LLC | Skilled Nursing Facility | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2010-01-29 |
| Street Address |
1200 HOSPITAL WAY |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275504896 | Beacon Health Services Inc | Psychiatric Hospital | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2006-01-31 |
| 1356876551 | Titus Kener | Nurse Practitioner | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2017-04-25 |
| 1770977787 | Concordia Health Care Inc | Psychiatric Hospital | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2015-03-27 |
| 1407240419 | Concordia Health Care Inc | Skilled Nursing Facility | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2015-03-27 |
| 1699195222 | Julie Hawkins | Physical Therapy Assistant | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2014-04-22 |
| 1376842419 | Mary Ann Mendoza De Guzman | Occupational Therapist | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2011-03-15 |
| 1437480522 | Safe Haven Health Care LLC | Skilled Nursing Facility | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2010-01-29 |
| 1164663456 | Nicole L Chopski | Pharmacist | 1200 Hospital Way, Attn: Pharmacy, Pocatello, ID 83201-2708 | 2009-03-16 |
| 1699746198 | Beacon Health Services Inc | Skilled Nursing Facility | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275504896 | Beacon Health Services Inc | Psychiatric Hospital | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2006-01-31 |
| 1770977787 | Concordia Health Care Inc | Psychiatric Hospital | 1200 Hospital Way, Pocatello, ID 83201-2708 | 2015-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619360724 | Charolais Care Viii, Inc | Psychiatric Hospital | 650 Addison Ave W Ste 300b, Twin Falls, ID 83301-5851 | 2015-03-13 |
| 1710072046 | Helping Hands Sanctuary of Idaho | Psychiatric Hospital | 500 Polk St E, Kimberly, ID 83341 | 2006-10-03 |
| 1992789101 | State of Idaho Department of Health and Welfare | Psychiatric Hospital | 700 East Alice, Box 400, Blackfoot, ID 83221 | 2005-12-01 |
| 1437620358 | Lifeways, Inc | Psychiatric Hospital | 8050 W Northview St, Boise, ID 83704-7126 | 2018-12-17 |
| 1003397878 | Hbs of Meridian, LLC | Psychiatric Hospital | 2131 S Bonito Way, Meridian, ID 83642-1659 | 2018-08-28 |
| 1942643432 | Safe Haven Health Care Inc | Psychiatric Hospital | 8050 W Northview St, Boise, ID 83704-7126 | 2013-04-15 |
| 1780937532 | Dustin Sharpe | Psychiatric Hospital | 8050 W Northview St, Boise, ID 83704-7126 | 2012-10-17 |
| 1871800128 | Mountain View Center for Geriatric Psychiatry LLC | Psychiatric Hospital | 500 Polk St E, Kimberly, ID 83341-1618 | 2010-09-08 |
| 1639307358 | Charolais Care Viii, Inc | Psychiatric Hospital | 500 Polk St E, Kimberly, ID 83341-1618 | 2009-07-01 |
| 1871745372 | Charolais Care II, Inc | Psychiatric Hospital | 500 Polk St E, Kimberly, ID 83341-1618 | 2008-10-15 |
| Find all providers with the same taxonomy | ||||
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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.