Safe Space in-Home Support LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SAFE SPACE IN-HOME SUPPORT LLC

Practice address

662 Suttle Street
Shelby, NC 28150

Phone

(704) 287-2252

Fax

(704) 287-2252

NPI assigned

Jun 9, 2026

Last updated

Jul 31, 2026By 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

Michael Wayne Simmons

Title

Ceo

Phone

(704) 287-2252

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1336073170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 HARBURN FOREST DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282696902",
            "telephone_number": "704-287-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 SUTTLE STREET",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "telephone_number": "704-287-2252",
            "fax_number": "704-287-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SPACE IN-HOME SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-287-2252"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter James Rumfelt, PA-C
• Rebekah Rutledge, LCMHCA
• Karel F. Rybnicek, MD
• Brittney Marie Sabol, DNP, AGPCNP-BC
• Jeffrey Charles Sabolovic, MD
• Safety Net Family Services LLC
• Rabindra Sagunarthy
• Jasmin Salas, PA-C
• Nicole Elizabeth Fallon Sales
• David James Salter, PA

• Community/Behavioral Health Agency in Shelby, NC
• Providers in Shelby, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.