SAFE HAVEN HOME
NPI 1043008329
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fayette, MS

Active since April 28, 2025CLIA 25D2341892 · Waiver
1677 MAIN STREET, FAYETTE, MS 39069(601) 341-3916 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Safe Haven Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAFE HAVEN HOME (NPI 1043008329) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Fayette, Mississippi and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through April 8, 2028 and lists Latoya Renee Cameron, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043008329
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSAFE HAVEN HOME
Location Address1677 MAIN STREETFayette, MS 39069
Mailing Address1080 Great Point RdMccomb, MS 39648-4753 · (601) 341-3916
Organization SubpartNo
Authorized OfficialLatoya Renee CameronCeo · (601) 341-3916
Enumeration DateApril 28, 2025
NPPES CertifiedApril 18, 2025
NPI 1043008329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
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.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedRespite CareTaxonomy 385H00000X
1677 MAIN STREET, Fayette, MS 39069

Other Names 1

Doing Business AsSafe Haven Home

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2341892

Safe Haven Home LLC · Fayette, MS
Active · expires Apr 8, 2028
CLIA Number25D2341892
Laboratory TypePractitioner Other
Certificate Effective DateApril 9, 2026
Certificate Expiration DateApril 8, 2028
Laboratory DirectorLatoya R. Cameron
Laboratory Phone(601) 341-3916
Laboratory LocationSafe Haven Home LLC16777 Main Street, Fayette, MS 39069
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Safe Haven Home's NPI number?

The NPI number for Safe Haven Home is 1043008329. It was assigned to this organization in the NPPES registry on April 28, 2025.

Where is Safe Haven Home located?

Safe Haven Home is located at 1677 Main Street, Fayette, MS 39069. The listed phone number is (601) 341-3916.

What is Safe Haven Home's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Safe Haven Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2341892) is associated with this NPI, valid through April 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Safe Haven Home was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.