Active NPI
Safehaven Holdings Inc
- Home Health Aide
- Jessup, MD
National Provider Identifier
1538845466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- SAFEHAVEN HOLDINGS INC
- Practice address
- 10545 Guilford Road Suite 104
Jessup, MD 20794-9109 - Phone
- (301) 776-0000
- Fax
- (301) 776-0002
- NPI assigned
- Jun 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Adeyemi Adeyinka, DRPH
- Title
- Program Director
- Phone
- (410) 814-8079
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | |||
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
10545 Guilford Road Suite 104
Jessup, MD 20794-9109
Mailing address
10545 Guilford Road Suite 104
Jessup, MD 20794-9109
Phone (301) 776-0000
National Provider Directory
National Provider DirectoryLocations
10545 Guilford Rd
Ste 104
Jessup, MD 20794
Phone (301) 776-0000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687737600000",
"number": "1538845466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10545 GUILFORD ROAD SUITE 104",
"city": "JESSUP",
"state": "MD",
"postal_code": "207949109",
"telephone_number": "301-776-0000",
"fax_number": "301-776-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10545 GUILFORD ROAD SUITE 104",
"city": "JESSUP",
"state": "MD",
"postal_code": "207949109",
"telephone_number": "301-776-0000",
"fax_number": "301-776-0002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFEHAVEN HOLDINGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A",
"authorized_official_last_name": "ADEYINKA",
"authorized_official_first_name": "ADEYEMI",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "410-814-8079",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DRPH"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jessup, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.