Active NPI
Avant Safe Haven LLC
- Mental Illness Community Based Residential Treatment Facility
- Lumberton, NC
National Provider Identifier
1134030570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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, 2026
- 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
- Elgina Avant
- Title
- Director
- Phone
- (910) 200-7036
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.