The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1164925772 |
NPI Entity Type | Organization |
Provider Name |
Safe Haven Llc
Doing Business As |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Certification Date | September 30, 2009 |
Provider Location Address | 2029 Washington Ave, Evansville, IN, US |
Provider Mailing Address | 629 Ingle St, Evansville, IN, US, 477081345 |
Gender | Male |
Is Sole Proprietor? | No |
Official Name | MR. LMHC, LCAC, SAP, NCC Michael G Hagedorn |
Official Position | MANAGING MEMBER |
Phone | 812-499-7950 |
Taxonomy Code | 193200000X |
Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Taxonomy Code | |
Taxonomy Name | Community/Behavioral Health Agency |
Classification | |
Group | |
Description | A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
No | |||||
No | |||||
No | |||||
No | |||||
No | |||||
No | |||||
No |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
300058088 | IN | MEDICAID | 05 |
300063279 | IN | MEDICAID | 05 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
Nicole M Blauvelt Individual |
11109 Parkview Plaza Dr |
||
PA-C Kristin E Pletcher Individual |
3909 New Vision Dr |
||
DR. MD David J Wittbrodt Individual |
1169 N Main St Ste 7 |
||
D.O. Ellen Szwed Individual |
11050 Parkview Circle Dr |
||
MS. Andrea Jo Lynne Adams Individual |
4444 Jamestown Ct Apt F |
||
Melissa Lucio Individual |
3512 Stellhorn Rd |
||
FNP-C Colleen Conwell Individual |
3909 New Vision Dr |
||
MD David E Schleinkofer Individual |
11108 Parkview Circle Dr |
||
Nicole Heller Individual |
11104 Parkview Circle Dr Ste 20 |
||
DR. M.D., Ahmed Zakria Youssef Elmaadawi Individual |
707 N Michigan St Ste 400 |
||
Kara Yackee Individual |
3909 New Vision Dr |
||
DR. MD Steven W Cohen Individual |
11104 Parkview Circle Dr Ste 310 |
||
MD Julie A Tillman Individual |
11123 Parkview Plaza Dr Suite 101 |
||
DR. M.D. Rebecca E Minser Individual |
1234 E Dupont Rd Ste 3 |
||
Jennifer Vanzant Individual |
2200 Randallia Dr |
||
DR. M.D. Dona M Uncheselu Individual |
11109 Parkview Plaza Dr |
||
MD Amy K Sadler Individual |
1270 E S.r. 205, Suite 240 |
||
MD Kevin K Hart Individual |
11108 Parkview Circle Dr |
||
MD Megan C. Lemon Individual |
11055 Twin Creeks Cv |
||
Kelcie Marie Small Individual |
6437 Rucker Rd Ste D |
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