Safe Heaven Cottage Corp
Assisted Living Facility in Tampa, FL. Organization (NPI-2).
NPI number1104769173
StatusActive
Last updated in NPPESApr 13, 2026
Details
- NPI
- 1104769173
- Entity type
- Organization (NPI-2)
- Legal business name
- Safe Heaven Cottage Corp
- Organization subpart
- No
- Enumeration date
- Apr 13, 2026
- Certification date
- Apr 13, 2026
- Last updated
- Apr 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
4007 Hudson LnTampa, FL 33618-5336
Phone 813-505-5564 · Fax 813-433-5583
Mailing address
4007 Hudson LnTampa, FL 33618-5336
Phone 813-505-5564 · Fax 813-433-5583
Authorized official
Martha Medina
Owner
8135055564
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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