Safeaven, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SAFEAVEN, LLC

Practice address

5028 34TH Ave N
St Petersburg, FL 33710-2116

Phone

(727) 289-1439

Fax

(727) 289-1439

NPI assigned

Jul 18, 2015

Last updated

Jul 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lesly Prudent

Title

Administrator

Phone

(727) 289-1439

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1548644503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 34TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102116",
            "telephone_number": "727-289-1439",
            "fax_number": "727-289-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5028 34TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102116",
            "telephone_number": "727-289-1439",
            "fax_number": "727-289-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "PRUDENT",
        "authorized_official_first_name": "LESLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-289-1439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.