TJ's Safe Haven LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

TJ'S SAFE HAVEN LLC

Practice address

4104 Tennyson Ave
Colorado Springs, CO 80910-2536

Phone

(719) 660-4757

NPI assigned

Jun 15, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Dale BonoNPI 1073968731

Title

Ceo/President

Phone

(719) 660-4757

Specialties & licenses 1

Addresses

Practitioners 1

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

• Thomas Dale Bono

  • Adult Day Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1073968731
  NPD (past) Authorized official

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1144670738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 TENNYSON AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102536",
            "telephone_number": "719-660-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 TENNYSON AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102536",
            "telephone_number": "719-660-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJ'S SAFE HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "BONO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "719-660-4757",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Candus Tise, LPC NCC
• Jayme R Tishon, MD
• Shannon Grace Tisson, PA-C
• Jessica Titone, LPCC
• Betsy Titus, PTA
• TLC Speech & Language Therapy, Inc
• TLC Speech and Language Therapy, LLC
• TLC VC, LLC (TLC Laser Eye Centers Colorado Springs)
• TMJ, Sleep, and Complete Dental Medicine of Colorado (Vibrant Laser Dentistry)
• Michela Toaddy

• Adult Day Care Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Adult Day Care Clinic/Center in Colorado

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