Active NPI
Passionate Grove Safe Haven
- Community/Behavioral Health Agency
- Cheraw, SC
National Provider Identifier
1790630697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PASSIONATE GROVE SAFE HAVEN
- Practice address
- 116 Kershaw St
Cheraw, SC 29520-2408 - Phone
- (803) 944-7358
- NPI assigned
- Mar 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Praylow
- Title
- Peer Support Specialist
- Phone
- (803) 944-7358
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
116 Kershaw St
Cheraw, SC 29520-2408
Mailing address
PO Box 126
Cheraw, SC 29520-0126
National Provider Directory
National Provider DirectoryLocations
116 Kershaw St
Cheraw, SC 29520
Phone (803) 944-7358
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Practical Nurse
- Prosperity, SC
- NPI 1669327565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772582400000",
"number": "1790630697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 126",
"city": "CHERAW",
"state": "SC",
"postal_code": "295200126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 KERSHAW ST",
"city": "CHERAW",
"state": "SC",
"postal_code": "295202408",
"telephone_number": "803-944-7358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASSIONATE GROVE SAFE HAVEN",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-04",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A",
"authorized_official_last_name": "PRAYLOW",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "PEER SUPPORT SPECIALIST",
"authorized_official_telephone_number": "803-944-7358"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheraw, SC
- P & H Discount Pharmacy
- Palm Grove Regional Health, LLC
- Palm Grove Regional Health, LLC
- Palmetto Family Medicine of Chesterfield County, LLC
- Palmetto Ridge Assisted Living & Memory Care LLC
- Winston J Plunkett, MD
- Kimberly Dawn Powell, APRN, FNP-BC
- Premise Health of South Carolina Medical PC
- Farooq Hussain Qureshi, MD
- Amy Rathbone, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.