NPIMap

Organization Active NPI

Safe Haven Support Services

  • Case Management Agency
  • Temple Terrace, FL
National Provider Identifier
1417517723
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SAFE HAVEN SUPPORT SERVICES
Practice address
9305 W Riverchase Dr
Temple Terrace, FL 33637-5626
Phone
(813) 475-8151
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Schanta Scott, CBHCMS
Title
Ceo
Phone
(813) 475-8151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

9305 W Riverchase Dr
Temple Terrace, FL 33637-5626

Mailing address

9305 W Riverchase Dr
Temple Terrace, FL 33637-5626
Phone (813) 475-8151

Other names 1

  • SAFE HAVEN SUPPORT SERVICES Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1417517723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W RIVERCHASE DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336375626",
            "telephone_number": "813-475-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W RIVERCHASE DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336375626",
            "telephone_number": "813-475-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SCHANTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-475-8151",
        "authorized_official_credential": "CBHCMS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFE HAVEN SUPPORT SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.