Provider Demographics
NPI:1053964114
Name:SAFE TO BE HOME
Entity type:Organization
Organization Name:SAFE TO BE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:E
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:475-233-7612
Mailing Address - Street 1:30 WOODGLEN DR APT 7A2
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06705-3636
Mailing Address - Country:US
Mailing Address - Phone:203-706-9106
Mailing Address - Fax:
Practice Address - Street 1:153 DIAMOND ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1331
Practice Address - Country:US
Practice Address - Phone:475-233-7612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health