A Safe Haven, L.L.C.

Clinic/Center, Mental Health (Including Community Mental Health Center) in Chicago, IL. Organization (NPI-2).

NPI number1235745142

StatusActive

Last updated in NPPESSep 17, 2020

Details

NPI: 1235745142
Entity type: Organization (NPI-2)
Legal business name: A Safe Haven, L.L.C.
Organization subpart: No
Enumeration date: Sep 17, 2020
Certification date: Sep 17, 2020
Last updated: Sep 17, 2020

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
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–	Yes

Practice location

7355 N Damen Ave
Chicago, IL 60645-2311

Phone 312-372-6707

Mailing address

15507 Cicero Ave Ste 200
Oak Forest, IL 60452-3633

Phone 312-372-6707

Authorized official

Melanie Dzado
Insurance Biller
3123726707

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.

Other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Chicago, IL

All 678 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Chicago · All 81,422 providers in Chicago

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