Healthcare Provider Details

I. General information

NPI: 1720700321
Provider Name (Legal Business Name): B A SAFE HAVEN HOMECARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7374 BADGER CT
INDIANAPOLIS IN
46260-5278
US

IV. Provider business mailing address

7374 BADGER CT
INDIANAPOLIS IN
46260-5278
US

V. Phone/Fax

Practice location:
  • Phone: 317-720-4999
  • Fax:
Mailing address:
  • Phone: 317-391-4268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: SHAWNNAE KNIGHTS
Title or Position: CEO
Credential:
Phone: 317-391-4268