Provider Demographics
NPI:1194474239
Name:SAFE HAVEN AT HOME CARE SERVICES
Entity type:Organization
Organization Name:SAFE HAVEN AT HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:803-605-2666
Mailing Address - Street 1:989 KNOX ABBOTT DRIVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:CAYCE
Mailing Address - State:SC
Mailing Address - Zip Code:29033-3346
Mailing Address - Country:US
Mailing Address - Phone:803-365-5118
Mailing Address - Fax:
Practice Address - Street 1:989 KNOX ABBOTT DRIVE
Practice Address - Street 2:SUITE 107
Practice Address - City:CAYCE
Practice Address - State:SC
Practice Address - Zip Code:29033-3346
Practice Address - Country:US
Practice Address - Phone:803-365-5118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care