Organization Active NPI

Safe Haven Enrichment Center, LLC

  • Clinic/Center
  • Raleigh, NC
National Provider Identifier
1407088354
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SAFE HAVEN ENRICHMENT CENTER, LLC
Practice address
3939 New Bern Ave
Raleigh, NC 27610-1332
Phone
(919) 212-8284
Fax
(919) 212-8286
NPI assigned
Aug 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Deborah L Brown
Title
Cfo
Phone
(919) 212-8284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3939 New Bern Ave
Raleigh, NC 27610-1332

Mailing address

3939 New Bern Ave
Raleigh, NC 27610-1332
Phone (919) 212-8284

National Provider Directory

National Provider Directory

Locations

3939 New Bern Ave
Raleigh, NC 27610
Phone (919) 212-8284

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1407088354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101332",
            "telephone_number": "919-212-8284",
            "fax_number": "919-212-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101332",
            "telephone_number": "919-212-8284",
            "fax_number": "919-212-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN ENRICHMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-212-8284"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.