Safe Haven Health and Wellness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SAFE HAVEN HEALTH AND WELLNESS LLC

Practice address

1525 Port Clinton Rd
Fremont, OH 43420-1234

Phone

(419) 350-3017

NPI assigned

Aug 16, 2024

Last updated

Aug 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cindy Goethals

Title

Ceo

Phone

(517) 206-9779

Specialties & licenses 1

Addresses

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.

• Cynthia Mary Goethals

  • Community/Behavioral Health Agency
  • Holland, OH
  • NPI 1528562063
  NPD

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1740012962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5836 DEL LN",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435669484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 PORT CLINTON RD",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434201234",
            "telephone_number": "419-350-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "GOETHALS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "517-206-9779"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ruhe, NP
• Karrie Ann Ruiz
• Anthony Rusher, DPM
• Steven A Rusher, DPM
• Dorota Sylwia Rytwinski, M.D.
• Sandusky County Board of Mr/DD
• Sandusky County Medical Specialists, LLC
• Sandusky County Office of Auditor (Sandusky County Combined General Health District)
• Sandusky County Office of Auditor (Sandusky County General Health District)
• Sandusky County Office of Auditor (Sandusky County EMS)

• Community/Behavioral Health Agency in Fremont, OH
• Providers in Fremont, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.