Active NPI
Safe Haven Hospice, LLC
- Community Based Hospice Care Agency
- Springfield, IL
National Provider Identifier
1649578337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- SAFE HAVEN HOSPICE, LLC
- Practice address
- 1999 Wabash Ave Ste 202
Springfield, IL 62704-5374 - Phone
- (217) 732-5180
- Fax
- (217) 737-1902
- NPI assigned
- Mar 4, 2011
- Organization subpart
- Yes
- Parent organization
- MIDWEST CHRISTIAN VILLAGES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Schmitz
- Title
- Cfo
- Phone
- (314) 587-7900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1999 Wabash Ave Ste 202
Springfield, IL 62704-5374
Mailing address
1999 Wabash Ave Ste 202
Springfield, IL 62704-5374
Phone (217) 732-5180
National Provider Directory
National Provider Directory- Part of
- Safe Haven Hospice of Southern Illinois LLC
Locations
200 N Postville Dr
Lincoln, IL 62656
Phone (309) 258-7822
628 Broadway St
Lincoln, IL 62656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681776000000",
"number": "1649578337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 WABASH AVE STE 202",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627045374",
"telephone_number": "217-732-5180",
"fax_number": "217-737-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 WABASH AVE STE 202",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627045374",
"telephone_number": "217-732-5180",
"fax_number": "217-737-1902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE HAVEN HOSPICE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDWEST CHRISTIAN VILLAGES",
"enumeration_date": "2011-03-04",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A",
"authorized_official_last_name": "SCHMITZ",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "314-587-7900"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.