Provider Demographics
NPI:1063274918
Name:SAFEHAVEN CARE SERVICES
Entity type:Organization
Organization Name:SAFEHAVEN CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MEMBER, DOO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOYAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-951-5822
Mailing Address - Street 1:6144 APPLECREEK RD
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44677-9720
Mailing Address - Country:US
Mailing Address - Phone:813-951-5822
Mailing Address - Fax:
Practice Address - Street 1:6144 APPLECREEK RD
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:OH
Practice Address - Zip Code:44677-9720
Practice Address - Country:US
Practice Address - Phone:813-951-5822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities