Organization Active NPI

Safe House, LLC

  • Community/Behavioral Health Agency
  • North Chesterfield, VA
National Provider Identifier
1922886647
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SAFE HOUSE, LLC
Practice address
9401 Hull Street Rd
North Chesterfield, VA 23236-1422
Phone
(804) 510-4920
Fax
(804) 362-3962
NPI assigned
Sep 15, 2023
Last updated
Oct 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Mr. Ronald Johnson, MBA, QMHP-A/C, QIDP
Title
Ceo
Phone
(804) 510-4920

Specialties & licenses 1

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

Addresses

Primary practice location

9401 Hull Street Rd
North Chesterfield, VA 23236-1422

Mailing address

9401 Hull Street Rd
North Chesterfield, VA 23236-1422
Phone (804) 510-4920

National Provider Directory

National Provider Directory

Locations

9401 Hull Street Rd
North Chesterfield, VA 23236
Phone (804) 510-4920

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1922886647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 HULL STREET RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361422",
            "telephone_number": "804-510-4920",
            "fax_number": "804-362-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 HULL STREET RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361422",
            "telephone_number": "804-510-4920",
            "fax_number": "804-362-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-510-4920",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, QMHP-A/C, QIDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.