ANGELS' SAFE HAVEN, LLC – NPI #1245780964
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

ANGELS' SAFE HAVEN, LLC is a community based residential treatment facility located in GOODYEAR, AZ. NPPES has assigned the NPI number 1245780964 to ANGELS' SAFE HAVEN, LLC on October 05, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 5 years ago on Jun 21, 2021. 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 ANGELS' SAFE HAVEN, LLC below.

NPI Profile for
ANGELS' SAFE HAVEN, LLC

NPI Number
1245780964
Enumeration Date

(more than 9 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
ANGELS' SAFE HAVEN, LLC
Primary location
2571 N. 149TH AVE
GOODYEAR, AZ 85395
Phone: (623) 440-4086 Fax: (623) 440-5939
1 Other location(s):
8340 N 86th Ln
Peoria, AZ 85345-2553
Phone: (602) 451-0633
Mailing address
P.O. BOX 7206
SURPRISE, AZ 85374
Phone: (623) 210-6382 Fax: (623) 440-5939
Organization Subpart
No
Authorized Official
RICHARD HORNE
CEO
Phone: (623) 210-6382
Updated
Certification Date
Jun 21, 2021

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.

Identifiers

Identifiers for ANGELS' SAFE HAVEN, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ207699
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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 AZ BH5019
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children

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.