Provider Demographics
NPI:1932562857
Name:SAFE HAVEN HOME HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:SAFE HAVEN HOME HEALTH CARE SERVICES
Other - Org Name:SAFE HAVEN HOME CARE SERVICES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAKESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-795-4253
Mailing Address - Street 1:15565 NORTHLAND DR W STE 208
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-5310
Mailing Address - Country:US
Mailing Address - Phone:248-714-0298
Mailing Address - Fax:
Practice Address - Street 1:15565 NORTHLAND DR W STE 208
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5310
Practice Address - Country:US
Practice Address - Phone:248-714-0298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-29
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child