Jubilee'S Safe Haven

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

JUBILEE'S SAFE HAVEN

Doing business as

Jubilee's Safe Haven Inc.

Practice address

1717 N St NW Ste 1
Washington, DC 20036-2827

Phone

(202) 987-8143

NPI assigned

May 24, 2022

Organization subpart

No

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

Authorized official

Name

Tyena Haskell, MEDICAL ASSISTANT

Title

Executive Director

Phone

(202) 987-8143

Specialties & licenses 1

Addresses

Other names 1

• Jubilee's Safe Haven Inc. Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1275271850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N ST NW STE 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362827",
            "telephone_number": "202-987-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N ST NW STE 1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362827",
            "telephone_number": "202-987-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE'S SAFE HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "HASKELL",
        "authorized_official_first_name": "TYENA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-987-8143",
        "authorized_official_credential": "MEDICAL ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.jubileessafehaven.com",
            "affiliation": "N",
            "endpointDescription": "company website",
            "address_1": "1717 N St NW Ste 1",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200362827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jubilee's Safe Haven Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jubilee's Safe Haven Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Juana
• Jeremy Michael Juanich, DPT
• Ximena Juarez-Rodriguez, RN
• Roxana Juarez
• Samira Juber
• Robert Judd
• Tanya Marie Judd, DPM
• Fonchenalla Jude Achiageonzoh
• Unknown Jude Buh Meh
• Eliza Jane Judge

• Assisted Living Facility (Mental Illness) in Washington, DC
• Providers in Washington, DC by specialty
• Assisted Living Facility (Mental Illness) in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.