Organization Active NPI

Safe Haven Hospice, LLC

  • Community Based Hospice Care Agency
  • Springfield, IL
National Provider Identifier
1649578337
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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 VILLAGESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.