Organization Active NPI

Avant Safe Haven LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Lumberton, NC
National Provider Identifier
1134030570
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
AVANT SAFE HAVEN LLC
Practice address
805 Spruce St
Lumberton, NC 28358-6443
Phone
(910) 200-7036
NPI assigned
Sep 15, 2026
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Elgina Avant
Title
Director
Phone
(910) 200-7036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

805 Spruce St
Lumberton, NC 28358-6443

Mailing address

603 Robeson Ave
Lake Waccamaw, NC 28450-2339
Phone (910) 200-7036

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1134030570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 ROBESON AVE",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284502339",
            "telephone_number": "910-200-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SPRUCE ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283586443",
            "telephone_number": "910-200-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANT SAFE HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "AVANT",
        "authorized_official_first_name": "ELGINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-200-7036"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.