Safe Haven, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

57414001 Issued in VA

Legal business name

SAFE HAVEN, INC.

Practice address

6721 Gills Gate CT
Chesterfield, VA 23832-6005

Phone

(804) 674-5394

Fax

(804) 745-7554

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Grace Ilori, PH.D

Title

Director

Phone

(804) 745-8070

Specialties & licenses 2

Addresses

Other names 1

• Teen Option Doing business as

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1730326703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6432 ELKHARDT RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232257819",
            "telephone_number": "804-745-8070",
            "fax_number": "804-745-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6721 GILLS GATE CT",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326005",
            "telephone_number": "804-674-5394",
            "fax_number": "804-745-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "ILORI",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-745-8070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "VA",
            "license": "57414001",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "57414001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teen Option",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shirley Rowland, CNP
• Skye' Royal
• Brandy Rucker, MA, LPC
• Rva-Stat Healthcare LLC
• S & S Golden Transportation, LLC
• Safe Space Collective LLC
• Alexis Maria Santella, PA-C
• Mary F Santmier, L.P.C.
• Lauren Grey Sapko-Fenters
• Albert T Sasala, D.D.S.

• Mental Illness Community Based Residential Treatment Facility in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Mental Illness Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.