Provider Demographics
NPI:1003621210
Name:SAFE HARBOR AMORE LLC
Entity type:Organization
Organization Name:SAFE HARBOR AMORE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SAFE HARBOR AMORE, PRINCIPAL
Authorized Official - Prefix:MS
Authorized Official - First Name:KELECHI
Authorized Official - Middle Name:EMMANUELA
Authorized Official - Last Name:IBEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-688-9953
Mailing Address - Street 1:7364 LAGOON ROAD,
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606
Mailing Address - Country:US
Mailing Address - Phone:909-688-9953
Mailing Address - Fax:
Practice Address - Street 1:7364 LAGOON ROAD,
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606
Practice Address - Country:US
Practice Address - Phone:909-688-9953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances