Active NPI
Safe Haven of Change Ministries
- Voluntary or Charitable Agency
- Detroit, MI
National Provider Identifier
1407000987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- SAFE HAVEN OF CHANGE MINISTRIES
- Practice address
- 14847 Wildemere St
Detroit, MI 48238-2158 - Phone
- (313) 414-7447
- NPI assigned
- Nov 10, 2008
- Organization subpart
- Yes
- Parent organization
- SPIRIT LOVE MINISTRIES INTERNATIONAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sander Nichols
- Title
- Chairman/ Ceo
- Phone
- (313) 414-7447
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
14847 Wildemere St
Detroit, MI 48238-2158
Mailing address
18656 Fenelon St
Detroit, MI 48234-2219
Phone (313) 414-7447
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226275200000",
"number": "1407000987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18656 FENELON ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482342219",
"telephone_number": "313-414-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14847 WILDEMERE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482382158",
"telephone_number": "313-414-7447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE HAVEN OF CHANGE MINISTRIES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPIRIT LOVE MINISTRIES INTERNATIONAL",
"enumeration_date": "2008-11-10",
"last_updated": "2008-11-10",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "SANDER",
"authorized_official_title_or_position": "CHAIRMAN/ CEO",
"authorized_official_telephone_number": "313-414-7447",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.