A Safe Haven, L.L.C.

LBN: A Safe Haven, L.L.C.
A Safe Haven, L.L.C. is an health care organization with primary practice located at 1930 S Wabash Ave Ste C1 , Chicago IL 60616-4651. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. A Safe Haven, L.L.C. can be contacted via phone (312) 372-6707, or through Dzado, Melanie via phone (312) 372-6707.

Contact Information

Primary practice address
1930 S Wabash Ave Ste C1 Chicago IL 60616-4651
Phone: (312) 372-6707
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dzado, Melanie
Phone: (312) 372-6707

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1770199689
LBN Legal business name A Safe Haven, L.L.C.
DBA Doing business as
Authorized official Dzado, Melanie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2020
Last updated Sep 17th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770199689 NPPES
Illinois Other 17002 DHS COMMUNITY MENTAL HEALTH CERTIFICATION

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