NPIMap

Organization Active NPI

Safe Haven House Inc

  • Community/Behavioral Health Agency
  • Lithonia, GA
National Provider Identifier
1831581818
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
002305 Issued in GA
Legal business name
SAFE HAVEN HOUSE INC
Practice address
6754 Grey Rock Way
Lithonia, GA 30058-3077
Phone
(678) 849-0505
NPI assigned
Feb 26, 2015
Last updated
Oct 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Deborah E Sills, PHD
Title
Ceo
Phone
(678) 849-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 002305 GA Primary

Addresses

Primary practice location

6754 Grey Rock Way
Lithonia, GA 30058-3077

Mailing address

6754 Grey Rock Way
Lithonia, GA 30058-3077
Phone (678) 849-0505

National Provider Directory

National Provider Directory
Tax ID family
Exceptionally Yours Autism Educational Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1831581818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6754 GREY ROCK WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583077",
            "telephone_number": "678-849-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6754 GREY ROCK WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583077",
            "telephone_number": "678-849-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "SILLS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-849-0505",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "002305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.