Safe Haven Home for Girls, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5004910 Issued in NC

Legal business name

SAFE HAVEN HOME FOR GIRLS, PLLC

Practice address

9338 Ames Hollow Rd
Charlotte, NC 28216-8787

Phone

(980) 201-1422

Fax

(980) 201-1422

NPI assigned

Jan 11, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Kim R English, FNP

Title

Family Nurse Practitioner

Phone

(980) 201-1422

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1457698326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9338 AMES HOLLOW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168787",
            "telephone_number": "704-509-4540",
            "fax_number": "704-509-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9338 AMES HOLLOW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168787",
            "telephone_number": "980-201-1422",
            "fax_number": "980-201-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN HOME FOR GIRLS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "980-201-1422",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005736",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Safe and Sound Medical Transportation Inc
• Safe at Home Care, LLC
• Safe Haven Child and Family Counseling Services,LLC
• Safe Haven Family Abuse Center
• Safe Haven Family Practice, PLLC
• Safe Haven Psychiatrics PLLC
• Safe Havens Home Health LLC
• Safe Rides Inc
• Safe Spaces Heal, LLC
• Safe Wait Transportation LLC

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.