Safe Entry, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SAFE ENTRY, INC

Practice address

467 Myatt Dr
Madison, TN 37115-3024

Phone

(615) 860-2244

Fax

(615) 860-2270

NPI assigned

Sep 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Perrion Carlew Gordon

Title

Executive Director

Phone

(615) 596-7147

Specialties & licenses 6

Addresses

Other names 1

• Safe Entry Community Housing & Support Services, Inc Doing business as

Locations

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1073707915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 MYATT DR",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153024",
            "telephone_number": "615-818-0892",
            "fax_number": "615-750-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 MYATT DR",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153024",
            "telephone_number": "615-860-2244",
            "fax_number": "615-860-2270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 Myatt Blvd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "TN",
            "postal_code": "371152453",
            "country_code": "US",
            "telephone_number": "615-997-3491",
            "fax_number": "615-997-3506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAFE ENTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "PERRION",
        "authorized_official_middle_name": "CARLEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-596-7147",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Entry Community Housing & Support Services, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Safe Entry Community Housing & Support Services, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Runk, PHARMD
• Leah Theresa Rusinko
• Daphne Marie Russell, LPN
• Lauren Rutledge Hopewell
• Siara Sadler, COTA/L
• Safe Watch by Monsignor, LLC
• Gaibrelle Safford, PHARMD
• David N Salmeron
• Sams Medical Supply
• Brett Samuelson

• Adult Day Care Clinic/Center in Madison, TN
• Providers in Madison, TN by specialty
• Adult Day Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.