Safehaven Healthcare LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SAFEHAVEN HEALTHCARE LLC

Doing business as

SafeHaven Hospice

Practice address

5453 Rustic Manor Dr
Brownsville, TX 78526-3920

Phone

(956) 504-2780

Fax

(956) 544-2780

NPI assigned

Jun 4, 2009

Last updated

Jun 4, 2009By 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

Shubhra Sharma

Title

President

Phone

(956) 544-2780

Specialties & licenses 1

Addresses

Other names 1

• SafeHaven Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245466218. Details of each certification follow.

• CCN 671641 Hospice · Active · Details

Hospice certification: CCN 671641

Legal name

SAFEHAVEN HEALTHCARE LLC

Doing business as

SAFEHAVEN HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 15, 2010

Last certification

Jul 8, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

May 6, 2009 in TX

Enrollment address

704 Paredes Line Rd
Ste G1
Brownsville, TX 78521-7931

Listed as

Safehaven HospiceCCN 671641 · All quality measures

Ownership

For-Profit

Certified

Feb 15, 2010

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Safehaven Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Safehaven Healthcare LLC

  • Community Based Hospice Care Agency
  • Brownsville, TX
  • NPI 1609278084
  NPD tax ID

Locations

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Nisar Hussain, M.D.

  • Internal Medicine Physician
  • Brownsville, TX
  • NPI 1851377089

  Contracted Managing Employee

  CMS ownership
• Femi Layiwola, MD

  • Internal Medicine Physician
  • Brownsville, TX
  • NPI 1396826855

  Contracted Managing Employee

  CMS ownership
• Paul Albert Lenz, M.D.

  • Family Medicine Physician
  • Brownsville, TX
  • NPI 1669446175

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Paul Albert Lenz, M.D.

  • Family Medicine Physician
  • Brownsville, TX
  • NPI 1669446175

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1245466218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5453 RUSTIC MANOR DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263920",
            "telephone_number": "956-504-2780",
            "fax_number": "956-544-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5453 RUSTIC MANOR DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263920",
            "telephone_number": "956-504-2780",
            "fax_number": "956-544-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEHAVEN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SHUBHRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-544-2780"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SafeHaven Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sabino Counseling Services PLLC
• Abel Anthony Saenz, SURGICAL ASSIST
• Daniela Saenz
• Denise Saenz, PT, DPT
• Zaira Alejandra Saenz, APRN, PMHNP-BC
• Safehaven Healthcare LLC
• Sagu Professional Services Inc (illum counseling and training center for trauma and loss)
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• Saraceli Michele Salas
• Ermalinda Salazar Mendez, PMHNP-BC

• Community Based Hospice Care Agency in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.