Provider Demographics
NPI:1689390106
Name:SAFE HAVEN HEALTHCARE LLC
Entity Type:Organization
Organization Name:SAFE HAVEN HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EKENEDILICHUKWU
Authorized Official - Middle Name:JOSPEH
Authorized Official - Last Name:NDIH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-356-2644
Mailing Address - Street 1:4184 WOODKNOLL DR
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-2558
Mailing Address - Country:US
Mailing Address - Phone:513-356-2644
Mailing Address - Fax:
Practice Address - Street 1:4184 WOODKNOLL DR
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-2558
Practice Address - Country:US
Practice Address - Phone:513-356-2644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health