Healthcare Provider Details

I. General information

NPI: 1811783632
Provider Name (Legal Business Name): S.A.F.E. SKILLED SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605-A NW FEDERAL HIGHWAY
STUART FL
34994
US

IV. Provider business mailing address

252 NE EBBTIDE WAY
OCEAN BREEZE FL
34957-5980
US

V. Phone/Fax

Practice location:
  • Phone: 561-898-9078
  • Fax:
Mailing address:
  • Phone: 646-294-7808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2278H0200X
TaxonomyHome Health Certified Respiratory Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2279H0200X
TaxonomyHome Health Registered Respiratory Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DAWN E JEWETT
Title or Position: OWNER
Credential:
Phone: 646-294-7808