Organization Active NPI

Safe Heaven Cottage Corp

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1104769173
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SAFE HEAVEN COTTAGE CORP
Practice address
4007 Hudson LN
Tampa, FL 33618-5336
Phone
(813) 505-5564
Fax
(813) 433-5583
NPI assigned
Apr 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Martha Medina
Title
Owner
Phone
(813) 505-5564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4007 Hudson LN
Tampa, FL 33618-5336

Mailing address

4007 Hudson LN
Tampa, FL 33618-5336
Phone (813) 505-5564

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1104769173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 HUDSON LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336185336",
            "telephone_number": "813-505-5564",
            "fax_number": "813-433-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 HUDSON LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336185336",
            "telephone_number": "813-505-5564",
            "fax_number": "813-433-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HEAVEN COTTAGE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-505-5564"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.