NPIMap

Organization Active NPI

Safe Haven Care, LLC

  • Adult Care Home Facility
  • Clinton, LA
National Provider Identifier
1104000272
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
20031 Issued in LA
Legal business name
SAFE HAVEN CARE, LLC
Practice address
9613 Plank Road
Suite O
Clinton, LA 70722
Phone
(225) 683-1230
Fax
(225) 683-9691
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Mrs. Mary Banks Kenerson
Title
Director of Programming
Phone
(225) 774-2943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 20031 LA Primary

Addresses

Primary practice location

9613 Plank Road
Suite O
Clinton, LA 70722

Mailing address

PO Box 8304
Clinton, LA 70722-1304
Phone (225) 683-1230

National Provider Directory

National Provider Directory
Tax ID family
Safe Haven Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1104000272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8304",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707221304",
            "telephone_number": "225-683-1230",
            "fax_number": "225-683-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 PLANK ROAD",
            "address_2": "SUITE O",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "70722",
            "telephone_number": "225-683-1230",
            "fax_number": "225-683-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "KENERSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BANKS",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAMMING",
        "authorized_official_telephone_number": "225-774-2943",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "LA",
            "license": "20031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.