Safe Haven Health Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

37 Issued in ID

Legal business name

SAFE HAVEN HEALTH CARE LLC

Practice address

1200 Hospital Way
Pocatello, ID 83201-2708

Phone

(208) 232-2570

Fax

(208) 233-6769

NPI assigned

Jan 29, 2010

Organization subpart

No

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

Authorized official

Name

Lynne Potts

Title

Vice President of Finance

Phone

(208) 244-4450

Specialties & licenses 1

Addresses

Other names 1

• Safe Haven Care Center of Pocatello Doing business as

Locations

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1437480522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 S 5TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832041923",
            "telephone_number": "208-221-9137",
            "fax_number": "888-222-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HOSPITAL WAY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012708",
            "telephone_number": "208-232-2570",
            "fax_number": "208-233-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "208-244-4450"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "37",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Haven Care Center of Pocatello",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan D. Hope, M.D., LLC
• Kenneth Ryan, MD
• Victoria Eleanor Ryan, PA-C
• S. Jeff Bray, DPM, Inc.
• William G Sabel, FNP
• Safe Haven Health Care LLC
• Lizette Salgado
• Ty A Salness, M.D.
• Salt Lake City Vamc
• Yuting Salverson

• All providers in Pocatello, ID
• Skilled Nursing Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.