Organization Active NPI

Safe Haven Assisted Living Facility, Inc

  • Respite Care
  • Eustis, FL
National Provider Identifier
1225412604
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
SAFE HAVEN ASSISTED LIVING FACILITY, INC
Practice address
2505 East Orange Ave.
Eustis, FL 34785
Phone
(352) 460-3529
Fax
(352) 748-1600
NPI assigned
Jul 15, 2015
Organization subpart
Yes
Parent organization
SAFE HAVEN ASSISTED LIVING FACILITY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Lula M. Frazier
Title
Owner
Phone
(352) 460-3529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X FL Primary

Addresses

Primary practice location

2505 East Orange Ave.
Eustis, FL 34785

Mailing address

2505 E Orange Ave
Eustis, FL 32726-4460
Phone (352) 460-3529

National Provider Directory

National Provider Directory
Part of
Safe Haven Assisted Living Facility Inc

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1225412604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 E ORANGE AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327264460",
            "telephone_number": "352-460-3529",
            "fax_number": "352-748-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 EAST ORANGE AVE.",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "34785",
            "telephone_number": "352-460-3529",
            "fax_number": "352-748-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN ASSISTED LIVING FACILITY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAFE HAVEN ASSISTED LIVING FACILITY, INC.",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "LULA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-460-3529"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.