Provider Demographics
NPI:1306211511
Name:SAFE HAVEN HOME CARE
Entity type:Organization
Organization Name:SAFE HAVEN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROUANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PASCAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-968-6970
Mailing Address - Street 1:10526 FLATLANDS 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3008
Mailing Address - Country:US
Mailing Address - Phone:718-968-6970
Mailing Address - Fax:718-968-6972
Practice Address - Street 1:10526 FLATLANDS 1ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3008
Practice Address - Country:US
Practice Address - Phone:718-968-6970
Practice Address - Fax:718-968-6972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1800L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health