NPIMap

Organization Active NPI

Safe Haven Behavioral Center LLC

  • Community/Behavioral Health Agency
  • Miami Gardens, FL
National Provider Identifier
1619549755
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SAFE HAVEN BEHAVIORAL CENTER LLC
Practice address
6187 NW 167TH St Ste H26
Miami Gardens, FL 33015-4366
Phone
(305) 705-5666
Fax
(305) 402-6101
NPI assigned
Jul 16, 2021
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Luis Ledesma
Title
Owner/Administrator
Phone
(305) 335-9627

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6187 NW 167TH St Ste H26
Miami Gardens, FL 33015-4366

Mailing address

7382 NW 35TH Ter Unit 106
Miami, FL 33122-1241
Phone (305) 705-5666

Other practice location 1

7382 NW 35th Ter Unit 106
Miami, FL 33122-1241
Phone (305) 705-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230731000765 FL Part A Provider - Community Mental Health Center 5890104541 Practice locations: Miami Gardens, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Safe Haven Behavioral Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1619549755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7382 NW 35TH TER UNIT 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331221241",
            "telephone_number": "305-705-5666",
            "fax_number": "305-402-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6187 NW 167TH ST STE H26",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330154366",
            "telephone_number": "305-705-5666",
            "fax_number": "305-402-6101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7382 NW 35th Ter Unit 106",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331221241",
            "country_code": "US",
            "telephone_number": "305-705-5666",
            "fax_number": "305-402-6101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAFE HAVEN BEHAVIORAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "LEDESMA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "305-335-9627"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.