SAFE HAVEN, INC. (NPI# 1730326703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730326703 |
| Entity Type | Organization |
| Organization Name | SAFE HAVEN, INC. |
| Other Organization Name | TEEN OPTION |
| Practice Address |
6721 Gills Gate Ct Chesterfield VA 23832-6005 |
| Mailing Address |
6432 Elkhardt Rd Richmond VA 23225-7819 |
| Practice Telephone | 8046745394 |
| Practice Fax Number | 8047457554 |
| Mailing Telephone | 8047458070 |
| Mailing Fax Number | 8047457554 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |
| Authorized Official Name | DR. GRACE ILORI (DIRECTOR) |
| Authorized Official Telephone | 8047458070 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 57414001 | VA | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 57414001 | VA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Teen Option | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SAFE HAVEN, INC | 1250 N 1st Ave Ste A, Stayton, OR 97383 |
| Connecticut Business Registrations | SAFE HAVEN, INC. | 89 Edna Ave, Bridgeport, CT 06610 |
| Street Address |
6721 GILLS GATE CT |
| City | CHESTERFIELD |
| State | VA |
| Zip Code | 23832-6005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568790178 | Teen Option, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6721 Gills Gate Ct, Chesterfield, VA 23832-6005 | 2009-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019754 | Sandra Hill | Counselor | 6900 Mimms Dr, Chesterfield, VA 23832 | 2020-06-26 |
| 1285256222 | Robin Ratliff Jones | Counselor | 6801 Lucy Blvd., 92, Chesterfield Mental Health, Chesterfield, VA 23832 | 2020-05-13 |
| 1629616495 | Chantell Nicole Randolph | Technician | 6519 Brambleton Rd, Chesterfield, VA 23832 | 2019-12-12 |
| 1881244374 | Jessica G Black | Physical Medicine & Rehabilitation | 10300 Courthouse Rd, Chesterfield, VA 23832 | 2019-09-17 |
| 1467934828 | Lorien Wilder Lcsw LLC | Clinic/Center | 9844 Lori Road Suite 102, Chesterfield, VA 23832 | 2018-09-03 |
| 1902390933 | National Vision, Inc. | Technician/Technologist | 14609 Hancock Village Street, Chesterfield, VA 23832 | 2018-06-22 |
| 1659860245 | Kaitlyn Moore | Behavior Technician | 7807 Hampton Summit Ter, Chesterfield, VA 23832 | 2018-05-09 |
| 1205337417 | Vitalcare Family LLC | Family Medicine | 7300 Ashlake Parkway, Chesterfield, VA 23832 | 2018-02-22 |
| 1205200599 | Chippenham & Johnston-willis Hospitals, Inc. | Clinic/Center | 14720 Hancock Village Street, Chesterfield, VA 23832 | 2015-11-24 |
| 1265801823 | Village Counseling Services, LLC | Community/Behavioral Health | 7305 Hancock Village Drive, Suite 315, Chesterfield, VA 23832 | 2015-09-24 |
| Find all providers in zip 23832 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902031503 | Life Lessons Residential Services | Community Based Residential Treatment Facility, Mental Illness | 7023 Madras Ct, Chesterfield, VA 23832-8399 | 2009-05-27 |
| 1952582751 | Chesterfield Youth Group Home | Community Based Residential Treatment Facility, Mental Illness | 9610 Krause Rd, Chesterfield, VA 23832-6717 | 2007-11-20 |
| 1376614511 | Little Kids In Focus, Inc | Community Based Residential Treatment Facility, Mental Illness | 6421 Belmont Rd, Chesterfield, VA 23832-8213 | 2006-11-10 |
| 1568790178 | Teen Option, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6721 Gills Gate Ct, Chesterfield, VA 23832-6005 | 2009-11-20 |
| 1073782827 | Community Alternatives Virginia | Community Based Residential Treatment Facility, Mental Illness | 6421 Belmont Rd, Chesterfield, VA 23832-8213 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487901 | River City Residential Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 2106 Hungary Rd, Richmond, VA 23228-2208 | 2020-04-27 |
| 1376178079 | Scott's Rehabilitative House | Community Based Residential Treatment Facility, Mental Illness | 104 Country Club Rd, Franklin, VA 23851-2983 | 2020-03-03 |
| 1386298354 | Quality Care Counseling Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 18511 Rollingside Dr, South Chesterfield, VA 23834-1699 | 2019-07-29 |
| 1730690694 | Families United, LLC | Community Based Residential Treatment Facility, Mental Illness | 1801 Hayward Ave, Chesapeake, VA 23320-2231 | 2017-10-18 |
| 1427419035 | Powerhouse Unlimited | Community Based Residential Treatment Facility, Mental Illness | 418 N 25th St, Apt 260, Richmond, VA 23223-7564 | 2016-03-09 |
| 1700266277 | Jan's Residential Homes | Community Based Residential Treatment Facility, Mental Illness | 307 N High St, Blackstone, VA 23824-1421 | 2015-05-31 |
| 1225426083 | Divine Health Support LLC | Community Based Residential Treatment Facility, Mental Illness | 2050 Hanson Ln, Woodbridge, VA 22191-4545 | 2015-01-02 |
| 1063838126 | New Lifestyles, Inc | Community Based Residential Treatment Facility, Mental Illness | 230 W Boscawen St, Winchester, VA 22601-4118 | 2014-03-13 |
| 1053742049 | Pathways Youth Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1010 Marions Trl, Halifax, VA 24558-3126 | 2013-12-02 |
| 1679905269 | Rest Haven LLC | Community Based Residential Treatment Facility, Mental Illness | 1005 Bland St, Norfolk, VA 23513-3386 | 2013-08-06 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 23832 |
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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.