MEDICARE: SAFE HAVEN TRANSITIONAL SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	251B00000X	Case Management Agency
3	251E00000X	Home Health Agency
4	251S00000X	Community/Behavioral Health Agency
5	251V00000X	Voluntary or Charitable Agency
6	252Y00000X	Early Intervention Provider Agency
7	253J00000X	Foster Care Agency
8	347E00000X	Transportation Broker
9	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1700664307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE HAVEN TRANSITIONAL SERVICES

Provider Business Mailing Address
First Line	:	300 HYDRANGEA DR
Second Line	:
City	:	CLOVER
State	:	SC
Zip	:	29710-8859
Country	:	US
Telephone Number	:	803-524-0683
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 HYDRANGEA DR
Second Line	:
City	:	CLOVER
State	:	SC
Zip	:	29710-8859
Country	:	US
Telephone Number	:	803-524-0683
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SENORA E SPIKES
Credential	:
Telephone Number	:	803-524-0683

Provider Enumeration Date	:	09/15/2023
Last Update Date	:	10/05/2023

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Directions to “SAFE HAVEN TRANSITIONAL SERVICES ” Practice Location

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