Organization Active NPI

Safe Haven Home Care, LLC

  • Personal Care Attendant
  • Henrico, VA
National Provider Identifier
1124797014
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
SAFE HAVEN HOME CARE, LLC
Practice address
3024 Macallan Pkwy
Henrico, VA 23231-7268
Phone
(804) 286-2595
Fax
(804) 554-9506
NPI assigned
Sep 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Shani DorseyNPI 1467036392
Title
Owner
Phone
(804) 286-2595

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary
Respite Care 385H00000X

Addresses

Primary practice location

3024 Macallan Pkwy
Henrico, VA 23231-7268

Mailing address

3024 Macallan Pkwy
Henrico, VA 23231-7268
Phone (804) 286-2595

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL safehavenhomecares@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1124797014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 MACALLAN PKWY",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232317268",
            "telephone_number": "804-286-2595",
            "fax_number": "804-554-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 MACALLAN PKWY",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232317268",
            "telephone_number": "804-286-2595",
            "fax_number": "804-554-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "SHANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-286-2595"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "safehavenhomecares@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3024 Macallan Pkwy",
            "city": "Henrico",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232317268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.