Safe Haven Home Care, LLC
Technician, Personal Care Attendant in Henrico, VA. Organization (NPI-2).
NPI number1124797014
StatusActive
Last updated in NPPESSep 13, 2021
Details
- NPI
- 1124797014
- Entity type
- Organization (NPI-2)
- Legal business name
- Safe Haven Home Care, LLC
- Organization subpart
- No
- Enumeration date
- Sep 13, 2021
- Certification date
- Sep 13, 2021
- Last updated
- Sep 13, 2021
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 |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
| 385H00000X | Respite Care | – | – |
Practice location
3024 Macallan PkwyHenrico, VA 23231-7268
Phone 804-286-2595 · Fax 804-554-9506
Mailing address
3024 Macallan PkwyHenrico, VA 23231-7268
Phone 804-286-2595 · Fax 804-554-9506
Authorized official
Shani Dorsey
Owner
8042862595
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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All 7 Personal Care Attendant providers in Henrico · All 1,819 providers in Henrico
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