NPIMap

Organization Active NPI

A Safe Haven, L.L.C.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
National Provider Identifier
1982391645
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
A SAFE HAVEN, L.L.C.
Practice address
7342 S Kingston Ave
Chicago, IL 60649-3428
Phone
(312) 372-6707
NPI assigned
Apr 21, 2023
Last updated
Apr 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Melanie Dzado
Title
Insurance Biller
Phone
(312) 372-6707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

7342 S Kingston Ave
Chicago, IL 60649-3428

Mailing address

15507 Cicero Ave Ste 200
Oak Forest, IL 60452-3633
Phone (312) 372-6707

National Provider Directory

National Provider Directory
Tax ID family
A Safe Haven LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1682035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1982391645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15507 CICERO AVE STE 200",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523633",
            "telephone_number": "312-372-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7342 S KINGSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493428",
            "telephone_number": "312-372-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SAFE HAVEN, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "DZADO",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "INSURANCE BILLER",
        "authorized_official_telephone_number": "312-372-6707"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.