Safe Haven Residential Care

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

SAFE HAVEN RESIDENTIAL CARE

Practice address

317 Boerum CT
VA Beach, VA 23452-1859

Phone

(757) 802-0441

NPI assigned

May 3, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Johnel Bond, CEONPI 1518545334

Title

Owner

Phone

(757) 802-0441

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SAFE HAVEN RESIDENTIAL CARE LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johnel Bond

  • Personal Care Attendant
  • Portsmouth, VA
  • NPI 1518545334
  NPD Authorized official

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1043909211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 BOERUM CT",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234521859",
            "telephone_number": "757-802-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 BOERUM CT",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234521859",
            "telephone_number": "757-802-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "JOHNEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-802-0441",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HCO22294",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFE HAVEN RESIDENTIAL CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SAFE HAVEN RESIDENTIAL CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joan Rodgers, SLP
• Shelly Marie Rodgers, LPC
• Deborah Lynn Roebuck, DC
• Precious Kenora Rowe
• Royal Hearts Homecare LLC
• Khin Mimi San, BCHD
• Paul F. Schellhammer, M.D.
• Yardan Shabazz II, RBT
• April M Shackleford, MD
• Allysin Sheeley

• Personal Care Attendant in VA Beach, VA
• Providers in VA Beach, VA by specialty
• Personal Care Attendant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.