Active NPI
Aubreys Safe Haven LLC
- Mental Illness Community Based Residential Treatment Facility
- Gastonia, NC
National Provider Identifier
1639839962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- AUBREYS SAFE HAVEN LLC
- Practice address
- 837 Lynhaven Dr
Gastonia, NC 28052-7611 - Phone
- (215) 847-7053
- NPI assigned
- Dec 28, 2021
- 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
- Tiera M Anderson
- Title
- Director
- Phone
- (215) 847-7053
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
837 Lynhaven Dr
Gastonia, NC 28052-7611
Mailing address
6607 Fawn View Dr
Charlotte, NC 28216-4847
Phone (215) 847-7053
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Gastonia, NC
- NPI 1407622459
Community Based Residential Treatment Facility, Mental Illness
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640649600000",
"number": "1639839962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6607 FAWN VIEW DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282164847",
"telephone_number": "215-847-7053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 LYNHAVEN DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280527611",
"telephone_number": "215-847-7053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUBREYS SAFE HAVEN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-28",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "TIERA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "215-847-7053"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
- Astep Above the Rest Mental Health Services
- At the Heart of the,Inc Matter Christian Counsleing Center Inc
- Emily Anne Atkinson Alexander
- Dana Elizabeth Atwood, RN, PHN II
- Gregory J Auber, FNP
- Verquez Demarque Austin
- Yolanda Michele Austin, LPC, NCC
- Kimberly Juliett Avalos, DPT
- Elizabeth Avant, LMFT
- Carla Avery
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.