Safe Haven Childrens Services, LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

209 Issued in NC

Legal business name

SAFE HAVEN CHILDRENS SERVICES, LLC

Practice address

503 Bowman Gray Dr Ste C
Greenville, NC 27834-7286

Phone

(252) 413-0842

Fax

(252) 413-0749

NPI assigned

Nov 11, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Gwendolyn R Sherrod

Title

Executive Director

Phone

(252) 413-0842

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1063749075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 BOWMAN GRAY DR STE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347286",
            "telephone_number": "252-413-0842",
            "fax_number": "252-413-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 BOWMAN GRAY DR STE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347286",
            "telephone_number": "252-413-0842",
            "fax_number": "252-413-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN CHILDRENS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "SHERROD",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "252-413-0842",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NC",
            "license": "209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sepehr Sadeghi, DO
• Azeem Saeed, M.D.,
• Syed A Saeed, MD
• Mindy L Saenz, RD, LDN, CDE
• Natalie Kristine Safdar, AUD
• Manisha Saha, MD
• Pavran Singh Sahota, MD
• Paige Saito
• Anant Akash Sakthivel, MD
• Esraa Osama Ibrahim Salaheldin, MD

• Foster Care Agency in Greenville, NC
• Providers in Greenville, NC by specialty
• Foster Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.