Organization Active NPI

Safe Heaven Homes LLC

  • Assisted Living Facility
  • Shoreview, MN
National Provider Identifier
1124850243
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SAFE HEAVEN HOMES LLC
Doing business as
Safe Heaven Homes LLC
Practice address
216 Hawes Ave
Shoreview, MN 55126-6232
Phone
(651) 529-5117
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Mr. Nerville Nkipang Rih-Reh Sr., SOCIAL WORKER
Title
Owner
Phone
(651) 529-5117

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

216 Hawes Ave
Shoreview, MN 55126-6232

Mailing address

200 Winthrop St S Apt 234
Saint Paul, MN 55119-5039
Phone (651) 529-5117

Other names 1

  • Safe Heaven Homes LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1124850243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WINTHROP ST S APT 234",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551195039",
            "telephone_number": "651-529-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 HAWES AVE",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551266232",
            "telephone_number": "651-529-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HEAVEN HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "RIH-REH",
        "authorized_official_first_name": "NERVILLE",
        "authorized_official_middle_name": "NKIPANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-529-5117",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "SOCIAL WORKER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Heaven Homes LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoreview, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.