A Safe Haven, L.l.c.
Clinic/Center, Rehabilitation, Substance Use Disorder in Chicago, Illinois
1124206800- Practice location
- 2750 W Roosevelt RD, Chicago, IL 60608
- Phone
- 773-435-8429
- Fax
- 773-435-8482
- Last updated
- March 25, 2020
A Safe Haven, L.l.c. is a healthcare organization based in Chicago, IL. The NPI number for A Safe Haven, L.l.c. is 1124206800 and holds license No. A-0274-0016-A (IL). The current practice location address is 2750 W Roosevelt RD, Chicago, IL 60608 and the office can be reached by phone at 773-435-8429 and by fax at 773-435-8482. The NPI was assigned on February 5, 2008 and the record was last updated in NPPES on March 25, 2020.
●Provider Profile Details
- NPI Number
- 1124206800
- Provider Name
- A Safe Haven, L.l.c.
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- Organization Subpart
- No
- Authorized Official
- Mr. Brian M Rowland · Ceo · 312-372-6707
- Enumeration Date
- February 5, 2008
- Last Update Date
- March 25, 2020
- Certification Date
- March 25, 2020
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2750 W Roosevelt RD
Chicago, IL 60608 - City
- Chicago
- State
- Illinois
- ZIP
- 60608
- Country
- US
- Phone Number
- 773-435-8429
- Fax Number
- 773-435-8482
✉Business Mailing Address
- Address
- 15507 Cicero Ave Ste 200
Oak Forest, IL 60452-3633 - City
- Oak Forest
- State
- IL
- ZIP
- 60452-3633
- Phone Number
- 312-372-6707
- Fax Number
- 312-372-6706
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | No | A-0274-0016-A | IL |
| Clinic/Center, Rehabilitation, Substance Use Disorder | 261QR0405X | Yes | A-0274-0016-A | IL |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Chicago →?Frequently Asked Questions
What is the NPI number of A Safe Haven, L.l.c.?
The NPI number of A Safe Haven, L.l.c. is 1124206800. It was assigned on February 5, 2008 and is currently active in the NPPES registry.
What is the specialty of A Safe Haven, L.l.c.?
A Safe Haven, L.l.c. is registered under the primary taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X) and holds license No. A-0274-0016-A (IL).
Where does A Safe Haven, L.l.c. practice?
The practice location is 2750 W Roosevelt RD, Chicago, IL 60608. The office can be reached at 773-435-8429 (phone) or 773-435-8482 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124206800 directly on the NPPES registry website at npiregistry.cms.hhs.gov.