Provider Demographics
NPI:1841170206
Name:SAFE HAVEN IN HOME CARE
Entity type:Organization
Organization Name:SAFE HAVEN IN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-283-7246
Mailing Address - Street 1:1987 W LARISSA LN
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85144-1399
Mailing Address - Country:US
Mailing Address - Phone:480-283-7246
Mailing Address - Fax:480-283-7246
Practice Address - Street 1:1987 W LARISSA LN
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85144-1399
Practice Address - Country:US
Practice Address - Phone:480-283-7246
Practice Address - Fax:480-283-7246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care