SAFE HARBOUR (NPI# 1689841298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689841298 |
| Entity Type | Organization |
| Organization Name | SAFE HARBOUR |
| Practice Address |
13 East Dr Jacksonville NC 28546-8214 |
| Practice Telephone | 9102654666 |
| Mailing Telephone | 9102654666 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | MRS. CHARISE KIMBERLY FRASIER (PRESIDENT/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9102654666 |
| Authorized Official Credential | BHS/QP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAFE HARBOUR | 107 Caldwell St, Greenville, AL 36037-2507 |
| Oregon Corporations, Companies and Business Names | SAFE HARBOUR ACCOUNTING | 1121 Sardine Crk Rd, Gold Hill, OR 97525 |
| Oregon Corporations, Companies and Business Names | SAFE HARBOUR ACCOUNTING, INC | 1121 Sardine Crk Rd, Gold Hill, OR 97525 |
| Colorado Business Entities | Safe Harbour Capital Partners, LLC | 10465 Park Meadows Drive Suite 108, Lone Tree, CO 80124 |
| Colorado Business Entities | Safe Harbour EAT - XXXV, LLC | 4400 Shawnee Mission Pkwy, Suite 102, Fairway, KS 66205 |
| Colorado Business Entities | Safe Harbour EAT-XXIII, LLC | 534 S. Kansas Avenue, Ste 250, Topeka, KS 66603 |
| Washington State Corporations | SAFE HARBOUR EQUITY, INC | 1548 Mission Meadows Dr, Oceanside, CA 92057-4803 |
| Colorado Business Entities | SAFE HARBOUR EXCHANGE, L.L.C. | 78491 Us Hwy 40, Winter Park, CO 80482 |
| Virginia Business Entities | SAFE HARBOUR FINANCIAL GROUP OF SOUTH FLORIDA LLC | 1901 Brickell Avenue Ste B-908, Miami, Florida 33129 |
| Colorado Business Entities | Safe Harbour Investments, L.L.C. | 7341 S. Meadow Ct., Boulder, CO 80301 |
| Street Address |
13 EAST DR |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-8214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237182 | Anchor Life Clinic | Clinic/Center | 9654 Ragsdale Dr, Jacksonville, FL 32257-6121 | 2020-08-28 |
| 1922637859 | New Patterns Counseling, LLC | Clinic/Center | 1905 Reveille Cir, Jacksonville, AR 72076-9157 | 2020-04-02 |
| 1669019212 | Cass County Mental Health | Clinic/Center | 60 E Central Park Plz, Jacksonville, IL 62650-2071 | 2019-12-03 |
| 1962974766 | Mara's Lighthouse Counseling Center, LLC | Clinic/Center | 6015 Morrow St E Ste 109, Jacksonville, FL 32217-2125 | 2018-12-19 |
| 1417428483 | Recovery Innovations Inc | Clinic/Center | 215b Memorial Dr, Jacksonville, NC 28546-6333 | 2018-12-17 |
| 1386131092 | Renascence Behavioral Healthcare Group, Inc | Clinic/Center | 8553 Argyle Business Loop Ste 1, Jacksonville, FL 32244-6604 | 2018-04-18 |
| 1093231987 | Aspire Psychiatric Services, LLC | Clinic/Center | 625 N 1st St Ste C, Jacksonville, AR 72076-4138 | 2017-08-22 |
| 1598295701 | North Florida Learning & Behavioral Health, LLC | Clinic/Center | 8825 Perimeter Park Blvd Ste 302, Jacksonville, FL 32216-1112 | 2017-06-20 |
| 1700179868 | Chemical Dependency Counseling, Inc. | Clinic/Center | 300 W Adams St Ste 240, Jacksonville, FL 32202-4365 | 2011-05-24 |
| 1952452096 | Psi Services IIi, Inc. | Clinic/Center | 4819 Soutel Dr, Jacksonville, FL 32208-1856 | 2007-01-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on SAFE HARBOUR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.