Safe Haven Behavioral Home LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SAFE HAVEN BEHAVIORAL HOME LLC

Practice address

6602 E Paseo San Andres
Tucson, AZ 85710-2106

Phone

(520) 780-0822

Fax

(520) 300-8016

NPI assigned

Jan 2, 2024

Last updated

Jan 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Comfort Impraim, NURSE PRACTITIONERNPI 1144610239

Title

Administrator/ Manger

Phone

(520) 991-7702

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Comfort Impraim, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
  • NPI 1144610239
  NPD Authorized official

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1114797040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6602 E PASEO SAN ANDRES",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102106",
            "telephone_number": "520-780-0822",
            "fax_number": "520-300-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 E PASEO SAN ANDRES",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102106",
            "telephone_number": "520-780-0822",
            "fax_number": "520-300-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN BEHAVIORAL HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "IMPRAIM",
        "authorized_official_first_name": "COMFORT",
        "authorized_official_title_or_position": "ADMINISTRATOR/ MANGER",
        "authorized_official_telephone_number": "520-991-7702",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.