Provider Demographics
NPI:1649578337
Name:SAFE HAVEN HOSPICE, LLC
Entity Type:Organization
Organization Name:SAFE HAVEN HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-587-7900
Mailing Address - Street 1:1999 WABASH AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-5374
Mailing Address - Country:US
Mailing Address - Phone:217-732-5180
Mailing Address - Fax:217-737-1902
Practice Address - Street 1:1999 WABASH AVE STE 202
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-5374
Practice Address - Country:US
Practice Address - Phone:217-732-5180
Practice Address - Fax:217-737-1902
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIDWEST CHRISTIAN VILLAGES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-04
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based