NPIMap

Organization Active NPI

Safe Haven in Home Care,LLC

  • Home Health Agency
  • Santee, SC
National Provider Identifier
1265989701
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAFE HAVEN IN HOME CARE,LLC
Practice address
107 Flintlock Court
None
Santee, SC 29142-0353
Phone
(803) 854-0800
Fax
(803) 854-0804
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Ms. Willie Dean Myers
Title
Owner/Director
Phone
(803) 854-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

107 Flintlock Court
None
Santee, SC 29142-0353

Mailing address

107 Flintlock CT.
Santee, SC 29142
Phone (803) 854-0800

Other identifiers 1

IdentifierTypeStateIssuer
EX1164MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Angelic Health Care 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.

Locations

107 Flintlock Ct
Santee, SC 29142
Phone (803) 854-0800

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1265989701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FLINTLOCK CT.",
            "city": "SANTEE",
            "state": "SC",
            "postal_code": "29142",
            "telephone_number": "803-854-0800",
            "fax_number": "803-854-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FLINTLOCK COURT",
            "address_2": "NONE",
            "city": "SANTEE",
            "state": "SC",
            "postal_code": "291420353",
            "telephone_number": "803-854-0800",
            "fax_number": "803-854-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN IN HOME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "803-854-0800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX1164",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.