Provider Demographics
NPI:1740872787
Name:SAFE HARBOR HOME CARE SERVICES, LLC
Entity type:Organization
Organization Name:SAFE HARBOR HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:GOLDEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:757-610-7804
Mailing Address - Street 1:112 W WASHINGTON ST STE 303
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-5246
Mailing Address - Country:US
Mailing Address - Phone:757-454-6972
Mailing Address - Fax:757-935-5215
Practice Address - Street 1:112 W WASHINGTON ST STE 303
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-5246
Practice Address - Country:US
Practice Address - Phone:757-454-6972
Practice Address - Fax:757-935-5215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health