Safe Haven Group Home, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SAFE HAVEN GROUP HOME, LLC

Practice address

5903 N Norfolk Ave
Tulsa, OK 74126-2323

Phone

(918) 779-4263

NPI assigned

Mar 23, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Theda Nigel Griffin

Title

Executive Director

Phone

(720) 585-8021

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553299200000",
    "number": "1992265060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5903 N NORFOLK AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741262323",
            "telephone_number": "918-779-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5903 N NORFOLK AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741262323",
            "telephone_number": "918-779-4263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5903 N Norfolk Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741262323",
            "country_code": "US",
            "telephone_number": "918-779-4263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAFE HAVEN GROUP HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-23",
        "last_updated": "2019-03-23",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "THEDA",
        "authorized_official_middle_name": "NIGEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "720-585-8021",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah A Sadler, M.S
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• Monica Saenz, DO
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• Case Management Agency in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Case Management Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2019; 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.