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General NPI Number Information
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NPI Number | 1124641154
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Entity Type | Organization
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Legal Business Name | SAFE HAVEN HOMECARE SERVICES LLC
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Dates
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Enumeration Date | 05/26/2020
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 2434 HEALY DR
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City | ORLANDO
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State | FL
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Zip | 32818-3108
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Country | US
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Telephone | 407-866-5644
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Fax | 407-730-5366
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Provider Business Mailing Address
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Address Line | 2434 HEALY DR
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City | ORLANDO
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State | FL
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Zip | 32818-3108
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Country | US
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Telephone | 407-866-5644
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Fax | 407-730-5366
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Authorized Official
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Title or Position | DIRECTOR
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Name | RENEE R JORDAN
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Credential |
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Telephone | 407-451-0245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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