Healthcare Provider Details

I. General information

NPI: 1629901806
Provider Name (Legal Business Name): SAFEHOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 W HARGETT ST STE 301
RALEIGH NC
27601-1351
US

IV. Provider business mailing address

127 W HARGETT ST STE 301 PMB 205
RALEIGH NC
27601-1351
US

V. Phone/Fax

Practice location:
  • Phone: 919-984-5010
  • Fax:
Mailing address:
  • Phone: 919-984-5010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: CHASITY JACKSON
Title or Position: OWNER
Credential:
Phone: 919-984-5010