Safe Haven Senior Care

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

0016433 Issued in WI

Legal business name

SAFE HAVEN SENIOR CARE

Practice address

414 E 19TH St
Marshfield, WI 54449-5074

Phone

(715) 898-1731

NPI assigned

May 3, 2017

Last updated

May 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Schnitzler, RN

Title

Administrator

Phone

(715) 207-3395

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1144756685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E 19TH ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495074",
            "telephone_number": "715-898-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E 19TH ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495074",
            "telephone_number": "715-898-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "SCHNITZLER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-207-3395",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "WI",
            "license": "0016433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Carroll Ryberg, M.D.
• Joy Ryskoski, NP
• Robyn Patricia Kolosovsky Sabich
• Kimberlie Sadauskas, P.T.
• Mary K Saeger, PAC
• Susan Safford, D.D.S.
• Aimen Said, MD
• Saint Joseph's Hospital
• Saint Joseph's Hospital of Marshfield, Inc (Ministry Spirit Medical Transportation)
• Saint Joseph's Hospital of Marshfield, Inc (Ministry Spirit Medical Transportation)

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.