Healthcare Provider Details

I. General information

NPI: 1114838000
Provider Name (Legal Business Name): SAFE HAVEN AT HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

989 KNOX ABBOTT DR STE 101
CAYCE SC
29033-3346
US

IV. Provider business mailing address

989 KNOX ABBOTT DR STE 101
CAYCE SC
29033-3346
US

V. Phone/Fax

Practice location:
  • Phone: 803-563-5010
  • Fax: 800-535-6217
Mailing address:
  • Phone: 803-563-5010
  • Fax: 800-535-6217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHA HAYNES
Title or Position: OWNER
Credential: RN
Phone: 803-365-5118