Organization Active NPI

Safe Haven Residential Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Stewartsville, NJ
National Provider Identifier
1093682940
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SAFE HAVEN RESIDENTIAL SERVICES LLC
Practice address
920 Tyler Cir
Stewartsville, NJ 08886-2604
Phone
(908) 528-4767
NPI assigned
Oct 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Sharitha 1969 Ballal, ADMINISTRATOR
Title
President
Phone
(908) 528-4767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X

Addresses

Primary practice location

920 Tyler Cir
Stewartsville, NJ 08886-2604

Mailing address

920 Tyler Cir
Stewartsville, NJ 08886-2604
Phone (908) 528-4767

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1093682940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 TYLER CIR",
            "city": "STEWARTSVILLE",
            "state": "NJ",
            "postal_code": "088862604",
            "telephone_number": "908-528-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 TYLER CIR",
            "city": "STEWARTSVILLE",
            "state": "NJ",
            "postal_code": "088862604",
            "telephone_number": "908-528-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "BALLAL",
        "authorized_official_first_name": "SHARITHA",
        "authorized_official_middle_name": "1969",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-528-4767",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stewartsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.