Safe-Haven House II, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

SAFE-HAVEN HOUSE II, LLC

Practice address

4202 Old Liberty Place
Safe-Haven House II, LLC
Greensboro, NC 27406-7218

Phone

(336) 685-4484

Fax

(336) 685-0144

NPI assigned

May 18, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Sandy White

Title

Director

Phone

(336) 685-4484

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1396970521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 OLD LIBERTY PLACE",
            "address_2": "SAFE-HAVEN HOUSE II, LLC",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274067218",
            "telephone_number": "336-685-4484",
            "fax_number": "336-685-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 OLD LIBERTY PLACE",
            "address_2": "SAFE-HAVEN HOUSE II, LLC",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274067218",
            "telephone_number": "336-685-4484",
            "fax_number": "336-685-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE-HAVEN HOUSE II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-685-4484",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Haley Sage, PA-C
• Marc-Edwin Gabriel Saint-Louis, MD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.