Active NPI
Safe Haven DHC LLC
- Adult Care Home Facility
- Flint, MI
National Provider Identifier
1013584598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- SAFE HAVEN DHC LLC
- Practice address
- 3429 Barth St
Flint, MI 48504-2407 - Phone
- (989) 295-6980
- NPI assigned
- Jun 4, 2021
- Last updated
- Jun 4, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mattie Pearson
- Title
- Director
- Phone
- (810) 845-9170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
3429 Barth St
Flint, MI 48504-2407
Mailing address
PO Box 141
Grand Blanc, MI 48480-0141
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | DHCLLC@yahoo.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622764800000",
"number": "1013584598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 141",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484800141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3429 BARTH ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485042407",
"telephone_number": "989-295-6980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE HAVEN DHC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-04",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "MATTIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "810-845-9170"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "DHCLLC@yahoo.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3429 Barth St",
"city": "Flint",
"state": "MI",
"country_code": "US",
"postal_code": "485042407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.