SAFE HAVEN PERSONAL CARE HOME (NPI# 1801403050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801403050 |
| Entity Type | Organization |
| Organization Name | SAFE HAVEN PERSONAL CARE HOME |
| Practice Address |
10875 Abercorn St Apt 132 Savannah GA 31419-1843 |
| Practice Telephone | 9127044504 |
| Mailing Telephone | 9127044504 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | MS. MARIAMA BAH (CEO) |
| Authorized Official Telephone | 9127044504 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
10875 ABERCORN ST APT 132 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891181335 | First Lady Residential Service LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 401 Barnhill Dr, Savannah, GA 31406-5912 | 2015-04-10 |
| 1790032480 | Service Provider Solutions, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1224 Charleston Ln, Savannah, TX 76227-7819 | 2012-08-13 |
| 1497015366 | Jasmine Personal Care Home, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 25 Canterbury Cir, Savannah, GA 31419-2700 | 2012-05-24 |
| 1689997496 | Encare, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1725 E 32nd St, Savannah, GA 31404-2333 | 2010-03-08 |
| 1992839567 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1221 E. 59th Street, Savannah, GA 31404 | 2007-03-15 |
| 1720111040 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 148 Sea Palms Road, Savannah, GA 31410 | 2007-03-14 |
| 1770616104 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 121 Palmetto Bay Rd, Savannah, GA 31410-2642 | 2007-03-14 |
| 1215060918 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6729 Key Street, Savannah, GA 31406 | 2007-03-13 |
| 1043343015 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12509 Bridlewood Dr, Savannah, GA 31419-2639 | 2007-03-13 |
| 1487787255 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2120 Vermont Avenue, Savannah, GA 31404 | 2007-03-13 |
| Find all providers in SAVANNAH | ||||
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| 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.