Nickeli'S Safe Haven Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

NICKELI'S SAFE HAVEN INC

Practice address

9057 S Parnell Ave
Chicago, IL 60620-2240

Phone

(773) 960-3024

NPI assigned

Dec 6, 2018

Organization subpart

No

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

Authorized official

Name

Brandyn Garner, LPNNPI 1821576109

Title

President

Phone

(773) 960-3024

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Brandyn Taylor Garner, LPN

  • Licensed Practical Nurse
  • Chicago, IL
  • NPI 1821576109
  NPD Authorized official

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1891266557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9057 S PARNELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606202240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9057 S PARNELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606202240",
            "telephone_number": "773-960-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKELI'S SAFE HAVEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "BRANDYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-960-3024",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nick Riehlmann Therapy
• Nick Turner LCSW LLC
• Cathleen Ann Nick, DDS
• Michael Joseph Nick, DMD
• Jeffrey Anthony Nickas, DDS
• Julie T Nickels, OTR
• Margaret Nickels, M.D.
• Margret M Nickels, PHD
• Brian E Nickerson, LCSW
• Lauren Elizabeth Nickerson, MS, RD, LDN

• Voluntary or Charitable Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Voluntary or Charitable Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.