Organization Active NPI

Safehaven Holdings Inc

  • Home Health Aide
  • Jessup, MD
National Provider Identifier
1538845466
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
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

Updated by the provider on Jun 26, 2023

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.