Provider Demographics
NPI:1841162716
Name:SAFE SPACE WHERE SECOND CHANCES HAPPEN LLC
Entity type:Organization
Organization Name:SAFE SPACE WHERE SECOND CHANCES HAPPEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:513-384-4162
Mailing Address - Street 1:1760 WELCH LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-3537
Mailing Address - Country:US
Mailing Address - Phone:513-384-4162
Mailing Address - Fax:
Practice Address - Street 1:10135 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-1413
Practice Address - Country:US
Practice Address - Phone:513-384-4162
Practice Address - Fax:513-384-4162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-20
Last Update Date:2025-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty