Organization Active NPI

Safe Haven Outreach Ministry, Inc.

  • Substance Abuse Rehabilitation Facility
  • Washington, DC
National Provider Identifier
1417130683
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SAFE HAVEN OUTREACH MINISTRY, INC.
Practice address
1140 N Capitol St NW Apt 924
Washington, DC 20002-7579
Phone
(202) 589-1505
Fax
(202) 589-1534
NPI assigned
Dec 11, 2007
Last updated
May 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Ms. Eugena E Beard, CACII, MHS
Title
Executive Director
Phone
(202) 589-1505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1140 N Capitol St NW Apt 924
Washington, DC 20002-7579

Mailing address

1140 N Capitol St NW Apt 924
Washington, DC 20002-7579
Phone (202) 589-1505

Other identifiers 1

IdentifierTypeStateIssuer
037491100MedicaidDC

National Provider Directory

National Provider Directory

Locations

1140 N Capitol St NW
Ste 924
Washington, DC 20002
Phone (202) 589-1505

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": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1417130683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N CAPITOL ST NW APT 924",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200027579",
            "telephone_number": "202-589-1505",
            "fax_number": "202-589-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N CAPITOL ST NW APT 924",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200027579",
            "telephone_number": "202-589-1505",
            "fax_number": "202-589-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN OUTREACH MINISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "EUGENA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-589-1505",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CACII, MHS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037491100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.