NPIMap

Organization Active NPI

Safe Haven Recovery Inc

  • Recovery Care Clinic/Center
  • Miami, FL
National Provider Identifier
1134585433
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
SAFE HAVEN RECOVERY INC
Practice address
540 NW 165TH St Ste 310
Miami, FL 33169-6304
Phone
(305) 956-7823
Fax
(305) 956-7825
NPI assigned
Jan 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Keli Kornmiller
Title
Senior Credentialing Specialist
Phone
(561) 672-8345

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary
Substance Abuse Rehabilitation Facility 324500000X 1113AD526501 FL

Addresses

Primary practice location

540 NW 165TH St Ste 310
Miami, FL 33169-6304

Mailing address

540 NW 165TH St Ste 310
Miami, FL 33169-6304
Phone (305) 956-7823

National Provider Directory

National Provider Directory
Tax ID family
Safe Haven Recovery Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1134585433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 NW 165TH ST STE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696304",
            "telephone_number": "305-956-7823",
            "fax_number": "305-956-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NW 165TH ST STE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331696304",
            "telephone_number": "305-956-7823",
            "fax_number": "305-956-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "KORNMILLER",
        "authorized_official_first_name": "KELI",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "561-672-8345"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1113AD526501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.