Active NPI
Safe Haven Homecare Services LLC
- Home Health Agency
- Orlando, FL
National Provider Identifier
1124641154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SAFE HAVEN HOMECARE SERVICES LLC
- Practice address
- 2434 Healy Dr
Orlando, FL 32818-3108 - Phone
- (407) 866-5644
- Fax
- (407) 730-5366
- NPI assigned
- May 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Renee R Jordan
- Title
- Director
- Phone
- (407) 451-0245
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
2434 Healy Dr
Orlando, FL 32818-3108
Mailing address
2434 Healy Dr
Orlando, FL 32818-3108
Phone (407) 866-5644
Other practice location 1
2281 Oshkosh Ct
Orlando, FL 32818-5258
Phone (407) 866-5644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123513500 | Medicaid | FL | |
| 105983400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
6239 Edgewater Dr
Ste D10A
Orlando, FL 32810
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Agency
- Orlando, FL
- NPI 1114397130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771459200000",
"number": "1124641154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2434 HEALY DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328183108",
"telephone_number": "407-866-5644",
"fax_number": "407-730-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2434 HEALY DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328183108",
"telephone_number": "407-866-5644",
"fax_number": "407-730-5366"
}
],
"practiceLocations": [
{
"address_1": "2281 Oshkosh Ct",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328185258",
"country_code": "US",
"telephone_number": "407-866-5644",
"fax_number": "407-237-9182",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SAFE HAVEN HOMECARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-26",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "RENEE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "407-451-0245"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123513500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105983400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.