Organization Active NPI

Safe Haven Assistance

  • In Home Supportive Care Agency
  • Clinton Township, MI
National Provider Identifier
1396650776
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SAFE HAVEN ASSISTANCE
Practice address
19612 Opal St
Clinton Township, MI 48035-4817
Phone
(248) 629-0121
NPI assigned
Aug 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Ms. Kaylon Laverne LewisNPI 1962332304
Title
Owner/Ceo
Phone
(248) 847-5364

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

19612 Opal St
Clinton Township, MI 48035-4817

Mailing address

19612 Opal St
Clinton Township, MI 48035-4817
Phone (248) 629-0121

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.

NPI Registry JSON

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1396650776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19612 OPAL ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354817",
            "telephone_number": "248-629-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19612 OPAL ST",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354817",
            "telephone_number": "248-629-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN ASSISTANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KAYLON",
        "authorized_official_middle_name": "LAVERNE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "248-847-5364",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.