NPIMap

Organization Active NPI

Our Safehaven

  • Mental Illness Community Based Residential Treatment Facility
  • Castro Valley, CA
National Provider Identifier
1750967972
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
OUR SAFEHAVEN
Practice address
4537 Edwards Lane
Castro Valley, CA 94546-4734
Phone
(510) 690-1330
Fax
(510) 690-1331
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Crystal Campbell
Title
Administrator
Phone
(510) 690-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

4537 Edwards Lane
Castro Valley, CA 94546-4734

Mailing address

PO Box 2061
Castro Valley, CA 94546-0061
Phone (510) 690-1330

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1750967972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2061",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945460061",
            "telephone_number": "510-690-1330",
            "fax_number": "510-690-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4537 EDWARDS LANE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464734",
            "telephone_number": "510-690-1330",
            "fax_number": "510-690-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR SAFEHAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2024-06-12",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-690-1330"
    },
    "taxonomies": [
        {
            "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 Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.