Organization Active NPI

Safe Havens Home Health LLC

  • In Home Supportive Care Agency
  • Charlotte, NC
National Provider Identifier
1003587098
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SAFE HAVENS HOME HEALTH LLC
Practice address
3325 Washburn Ave Ste 209
Charlotte, NC 28205-7172
Phone
(704) 817-8315
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James McDowell
Title
Owner
Phone
(704) 200-3694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3325 Washburn Ave Ste 209
Charlotte, NC 28205-7172

Mailing address

3325 Washburn Ave Ste 209
Charlotte, NC 28205-7172
Phone (704) 817-8315

National Provider Directory

National Provider Directory

Locations

3325 Washburn Ave
Ste 209
Charlotte, NC 28205
Phone (704) 817-8315

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1003587098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 WASHBURN AVE STE 209",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057172",
            "telephone_number": "704-817-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 WASHBURN AVE STE 209",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057172",
            "telephone_number": "704-817-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVENS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-200-3694"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.