Organization Active NPI

Passionate Grove Safe Haven

  • Community/Behavioral Health Agency
  • Cheraw, SC
National Provider Identifier
1790630697
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Tiffany PraylowNPI 1669327565
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.