A SAFE HAVEN WELLNESS & PRIMARY CARE, LLC – NPI #1053149476
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

A SAFE HAVEN WELLNESS & PRIMARY CARE, LLC is a provider located in WILLOW SPRING, NC. NPPES has assigned the NPI number 1053149476 to A SAFE HAVEN WELLNESS & PRIMARY CARE, LLC on July 25, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was last updated on Dec 02, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for A SAFE HAVEN WELLNESS & PRIMARY CARE, LLC below.

NPI Profile for
A SAFE HAVEN WELLNESS & PRIMARY CARE, LLC

NPI Number
1053149476
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
A SAFE HAVEN WELLNESS & PRIMARY CARE, LLC
Primary location
8813 LOVE FIELD CT
WILLOW SPRING, NC 27592-8664
Phone: (919) 400-7863 Fax: (919) 290-4754
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TREVOR ULRICH
OWNER
Phone: (919) 400-7863
Updated
Certification Date
Dec 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
PRIMARY COMMUNICATION ENDPOINT FOR SECURE MESSAGING AND EXCHANGE RELATED TO CLINICAL CARE, REFERRALS, AND ADMINISTRATIVE USE.
Content Type
CSV
Affiliation
Y
Endpoint Location
8813 LOVE FIELD CT,
WILLOW SPRING, NC 77025-1669