Organization Active NPI

Safe Haven Residential Care

  • In Home Supportive Care Agency
  • Bismarck, ND
National Provider Identifier
1013867977
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SAFE HAVEN RESIDENTIAL CARE
Practice address
444 E Brandon Dr Apt 9
Bismarck, ND 58503-0498
Phone
(207) 400-5708
NPI assigned
Jan 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Gatimbirizo Daniel Mucyo
Title
Managing Member
Phone
(207) 400-5708

Specialties & licenses 1

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

Addresses

Primary practice location

444 E Brandon Dr Apt 9
Bismarck, ND 58503-0498

Mailing address

444 E Brandon Dr Apt 9
Bismarck, ND 58503-0498
Phone (207) 400-5708

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1013867977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 E BRANDON DR APT 9",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030498",
            "telephone_number": "207-400-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 E BRANDON DR APT 9",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030498",
            "telephone_number": "207-400-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "MUCYO",
        "authorized_official_first_name": "GATIMBIRIZO",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "207-400-5708"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.