Organization Active NPI

Safehaven Healthcare LLC

  • Community Based Hospice Care Agency
  • Brownsville, TX
National Provider Identifier
1609278084
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
012803 Issued in TX
Legal business name
SAFEHAVEN HEALTHCARE LLC
Practice address
2340 Central Blvd
Brownsville, TX 78520-8714
Phone
(956) 504-2780
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Shubhra Sharma
Title
Owner
Phone
(956) 504-2780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 012803 TX Primary

Addresses

Primary practice location

2340 Central Blvd
Brownsville, TX 78520-8714

Mailing address

5453 Rustic Manor Dr
Brownsville, TX 78526-3920

Other identifiers 1

IdentifierTypeStateIssuer
001018058MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Safehaven Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1609278084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5453 RUSTIC MANOR DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 CENTRAL BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208714",
            "telephone_number": "956-504-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEHAVEN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SHUBHRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-504-2780"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "012803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001018058",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.