Provider Demographics
NPI:1467818559
Name:SAFE@HOME LLC
Entity Type:Organization
Organization Name:SAFE@HOME LLC
Other - Org Name:SAFE AT HOME SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-213-7899
Mailing Address - Street 1:505 S DEWEY ST
Mailing Address - Street 2:STE 106
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-3704
Mailing Address - Country:US
Mailing Address - Phone:715-598-7233
Mailing Address - Fax:715-598-7232
Practice Address - Street 1:505 S DEWEY ST
Practice Address - Street 2:STE 106
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-3704
Practice Address - Country:US
Practice Address - Phone:715-598-7233
Practice Address - Fax:715-598-7232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-06
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health