Safe Haven Hospice Care Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SAFE HAVEN HOSPICE CARE INC.

Practice address

2115 W Crescent Ave Ste 255
Anaheim, CA 92801-3836

Phone

(562) 505-2846

NPI assigned

Nov 24, 2020

Organization subpart

No

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

Authorized official

Name

Kenny Dizon

Title

President

Phone

(562) 505-2846

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51571

Legal name

SAFE HAVEN HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 29, 2022

Last certification

Sep 22, 2022

Organization structure

CorporationProprietary

Incorporated

Nov 19, 2020 in CA

Enrollment address

2115 W Crescent Ave
Ste 255
Anaheim, CA 92801-3836

Listed as

Safe Haven Hospice Care IncCCN B51571

Certified

Sep 29, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1487258158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 W CRESCENT AVE STE 255",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 W CRESCENT AVE STE 255",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013836",
            "telephone_number": "562-505-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN HOSPICE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "DIZON",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-505-2846"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maysoon M Saeed, DDS
• Riley T Saelee
• Samuel A Saelee, MD
• Berenice Saenz
• Megan Saenz
• Safe Trips Trans LLC
• Gregory Sagehorn
• Ribha Saggar, D.D.S.
• Samira Saghafi, M.D.
• James Sagun

• Community Based Hospice Care Agency in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.