Healthcare Provider Details

I. General information

NPI: 1588570089
Provider Name (Legal Business Name): SAFE HAVEN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31355 GLENDALOUGH WAY
WESLEY CHAPEL FL
33545-8289
US

IV. Provider business mailing address

912 DREW ST STE 102
CLEARWATER FL
33755-4523
US

V. Phone/Fax

Practice location:
  • Phone: 305-741-1150
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. WHITNEY ELISE THOMPKINS
Title or Position: OWNER
Credential:
Phone: 813-599-6112