Organization Active NPI

Safe at Home Service Facilitation LLC

  • Home Health Agency
  • Locust Grove, VA
National Provider Identifier
1386421428
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAFE AT HOME SERVICE FACILITATION LLC
Practice address
1467 Chesterfield Rd
Locust Grove, VA 22508-3131
Phone
(571) 316-8039
Fax
(540) 369-3538
NPI assigned
Sep 12, 2023
Last updated
Feb 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Sharon Y Mason, RNNPI 1922643790
Title
Administrator
Phone
(571) 316-8039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X Primary
Personal Care Attendant 3747P1801X
Respite Care 385H00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1467 Chesterfield Rd
Locust Grove, VA 22508-3131

Mailing address

1467 Chesterfield Rd
Locust Grove, VA 22508-3131
Phone (571) 316-8039

Other identifiers 2

IdentifierTypeStateIssuer
HCO-0005123OtherVACOMMON WEALTH VIRGINIA DEPARTMENT OF HEALTH
30017679990001MedicaidVA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1386421428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 CHESTERFIELD RD",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225083131",
            "telephone_number": "571-316-8039",
            "fax_number": "540-369-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 CHESTERFIELD RD",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225083131",
            "telephone_number": "571-316-8039",
            "fax_number": "540-369-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE AT HOME SERVICE FACILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "571-316-8039",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMON WEALTH VIRGINIA DEPARTMENT OF HEALTH",
            "identifier": "HCO-0005123",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017679990001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.