Healthcare Provider Details

I. General information

NPI: 1831001536
Provider Name (Legal Business Name): SHEILA'S SAFE PLACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 E ALBEMARLE ST
EDENTON NC
27932-1902
US

IV. Provider business mailing address

101 HINES AVE
ELIZABETH CITY NC
27909-7844
US

V. Phone/Fax

Practice location:
  • Phone: 252-273-0103
  • Fax:
Mailing address:
  • Phone: 252-273-0103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS WHITE
Title or Position: OWNER
Credential:
Phone: 252-273-0103