NPIMap

Organization Active NPI

Safehaven Family Service, LLC.

  • Community/Behavioral Health Agency
  • Burlington, NC
National Provider Identifier
1447412820
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SAFEHAVEN FAMILY SERVICE, LLC.
Practice address
410 Spring Street
Suite 204
Burlington, NC 27215-5867
Phone
(980) 230-1988
NPI assigned
Jun 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Ms. Veronica M Clark-George
Title
Ceo
Phone
(980) 230-1988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

410 Spring Street
Suite 204
Burlington, NC 27215-5867

Mailing address

PO Box 221872
Charlotte, NC 28222-1872
Phone (980) 230-1988

National Provider Directory

National Provider Directory
Tax ID family
Safehave Family Service LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

410 S Spring St
Ste 204
Burlington, NC 27215
Phone (980) 230-1988

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1447412820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221872",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282221872",
            "telephone_number": "980-230-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SPRING STREET",
            "address_2": "SUITE 204",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155867",
            "telephone_number": "980-230-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEHAVEN FAMILY SERVICE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "CLARK-GEORGE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "980-230-1988",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.