Active NPI
Safe Haven Integrated Living LLC
- Home Health Aide
- South Bend, IN
National Provider Identifier
1972478337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- SAFE HAVEN INTEGRATED LIVING LLC
- Practice address
- 1115 Clover St
South Bend, IN 46615-1205 - Phone
- (317) 759-4738
- NPI assigned
- Oct 7, 2025
- 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
- Miss Katia Trionne Gammage
- Title
- Owner
- Phone
- (317) 759-4738
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Rehabilitation Psychologist | 103TR0400X | |||
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | |||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | |||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | Primary | ||
| Homemaker | 376J00000X | |||
| Prevention Professional | 405300000X |
Addresses
Primary practice location
1115 Clover St
South Bend, IN 46615-1205
Mailing address
PO Box 241074
Speedway, IN 46224-9274
Phone (317) 759-4738
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759795200000",
"number": "1972478337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 241074",
"city": "SPEEDWAY",
"state": "IN",
"postal_code": "462249274",
"telephone_number": "317-759-4738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 CLOVER ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466151205",
"telephone_number": "317-759-4738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE HAVEN INTEGRATED LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-05",
"status": "A",
"authorized_official_last_name": "GAMMAGE",
"authorized_official_first_name": "KATIA",
"authorized_official_middle_name": "TRIONNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-759-4738",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XF0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.