MEDICARE: SKIPPER SAFE HAVEN FOR YOUTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	3104A0625X	Assisted Living Facility (Mental Illness)
3	320800000X	Mental Illness Community Based Residential Treatment Facility
4	343900000X	Non-emergency Medical Transport (VAN)
5	251B00000X	Case Management Agency
6	251E00000X	Home Health Agency
7	385H00000X	Respite Care
8	385HR2055X	Child Mental Illness Respite Care
9	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1699647610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKIPPER SAFE HAVEN FOR YOUTH

Provider Business Mailing Address
First Line	:	3619 PARKER KNOLL LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-6210
Country	:	US
Telephone Number	:	614-495-6943
Fax Number	:

Provider Business Practice Location Address
First Line	:	3619 PARKER KNOLL LN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-6210
Country	:	US
Telephone Number	:	614-495-6943
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ARIEL SKIPPER
Credential	:
Telephone Number	:	614-495-6943

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	09/19/2025

Similar Medicare Providers

1932413218 — CHANELLE ARDELL DILLARD LPN
Practice Location Address:

3685 PARKER KNOLL LN
COLUMBUS, OH
43219-6210

Practice Phone: 614-439-6017
Practice Fax:

1265387047 — JOYCE R. WALKER
Practice Location Address:

2315 DUNKIRK DR
COLUMBUS, OH
43219-1328

Practice Phone: 614-743-8493
Practice Fax:

1164512620 — MRS. JENNIFER ANN JENDE PHARM D
Practice Location Address:

420 N JAMES RD
COLUMBUS, OH
43219-1834

Practice Phone: 614-388-7469
Practice Fax:

1447679451 — PAMELA MATTHEWS
Practice Location Address:

4200 REGENT ST STE 200
COLUMBUS, OH
43219-6229

Practice Phone: 877-870-1775
Practice Fax: 614-968-8840

1891859971 — TONIA M COTTRELL LCSW
Practice Location Address:

4449 EASTON WAY FL 2
COLUMBUS, OH
43219-7005

Practice Phone: 614-665-5443
Practice Fax: 999-999-9999

1326994997 — HALENE HARTMAN
Practice Location Address:

3716 FLORIAN DR
COLUMBUS, OH
43219-3006

Practice Phone: 614-302-8469
Practice Fax:

Directions to “SKIPPER SAFE HAVEN FOR YOUTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.