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SAFE HAVEN HOMECARE SERVICES LLC NPI 1124641154


NPI Information

NPI: 1124641154
Provider Name: SAFE HAVEN HOMECARE SERVICES LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
6239 EDGEWATER DR STE D10-A
ORLANDO, FL
ZIP 32810
Phone: (407) 866-5644
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SAFE HAVEN HOMECARE SERVICES LLC is an in home supportive care in Orlando, FL. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. SAFE HAVEN HOMECARE SERVICES LLC NPI is 1124641154. The provider is registered as an organization entity type.

The provider's business location address is:

6239 EDGEWATER DR STE D10-A
ORLANDO, FL
ZIP 32810-736
Phone: (407) 866-5644
Fax: (407) 237-9182

The provider's authorized official is Renee R Jordan .
The authorized official title is Director and has the following contact phone number (407) 451-0245.

The enumeration date for this NPI number is 5/26/2020 and was last updated on 11/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3376J00000XHomemakerNo
4385H00000XRespite CareNo
5253Z00000XIn Home Supportive CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1105983400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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