Healthcare Provider Details

I. General information

NPI: 1639023989
Provider Name (Legal Business Name): SAFEHAVEN COMMUNITY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1986 SHELDON RD
BAILEY NC
27807-9514
US

IV. Provider business mailing address

1986 SHELDON RD
BAILEY NC
27807-9514
US

V. Phone/Fax

Practice location:
  • Phone: 919-885-9404
  • Fax:
Mailing address:
  • Phone: 919-885-9404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LATARSHA WOODARD EATMON
Title or Position: CEO
Credential:
Phone: 919-885-9404