SAFE HAVEN HOME
NPI 1043008329
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fayette, MS
NPI Status: Active since April 28, 2025
Contact Information
1677 MAIN STREET
FAYETTE, MS
ZIP 39069
Phone: (601) 341-3916
- Organization
- Residential Treatment Facility, Intellec...
- CLIA Number: 25D2341892
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 04-08-2028
About SAFE HAVEN HOME
This page provides the complete NPI Profile along with additional information for Safe Haven Home, a provider established in Fayette, Mississippi operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1043008329 assigned on April 2025. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Miss Latoya Renee Cameron Np (Ceo)
- NPI
- 1043008329
- Provider Name
- SAFE HAVEN HOME
- Entity Type
- Organization
- Location Address
- 1677 MAIN STREET FAYETTE, MS 39069
- Location Phone
- (601) 341-3916
- Mailing Address
- 1080 GREAT POINT RD MCCOMB, MS 39648
- Mailing Phone
- (601) 341-3916
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-28-2025
- Last Update Date
- 04-28-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 253Z00000X | Agencies | In Home Supportive Care | |
| 2 | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
| 3 | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities | |
| 4 | 385H00000X | Respite Care Facility | Respite Care |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2341892
- Facility Type
- Practitioner Other
- Certificate Effective Date
- April 09, 2026
- Certificate Expiration Date
- April 08, 2028
- Laboratory Director
- LATOYA R. CAMERON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Safe Haven Home to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043008329, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043008329, enumerated as an "organization" on April 28, 2025.
The provider is located at 1677 MAIN STREET FAYETTE, MS 39069 and the phone number is (601) 341-3916.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
