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ANGELS' SAFE HAVEN, LLC
NPI 1245780964
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Goodyear, AZ

Active since October 05, 2016
2571 N. 149TH AVE, GOODYEAR, AZ 85395(623) 440-4086(623) 440-5939 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angels' Safe Haven, Llc NPPES

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

ANGELS' SAFE HAVEN, LLC (NPI 1245780964) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Goodyear, Arizona and active in the NPI registry since October 2016. The organization maintains a secondary practice location in Peoria and lists Richard Edward Horne, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245780964
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameANGELS' SAFE HAVEN, LLC
Location Address2571 N. 149TH AVEGoodyear, AZ 85395
Mailing AddressP.o. Box 7206Surprise, AZ 85374 · (623) 210-6382 · Fax (623) 440-5939
Phone(623) 440-4086
Fax(623) 440-5939
Organization SubpartNo
Authorized OfficialRichard Edward HorneCeo · (623) 210-6382
Enumeration DateOctober 5, 2016
Last NPPES UpdateJune 21, 2021
NPPES CertifiedJune 21, 2021
✔ NPI 1245780964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in AZ · BH5019
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X
2571 N. 149TH AVE, Goodyear, AZ 85395
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Secondary Practice Location 1

Location 18340 N 86th LnPeoria, AZ 85345-2553 · Phone (602) 451-0633

Other Identifiers 1

Medicaid207699AZ

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 Angels' Safe Haven, LLC's NPI number?

The NPI number for Angels' Safe Haven, LLC is 1245780964. It was assigned to this organization in the NPPES registry on October 5, 2016.

Where is Angels' Safe Haven, LLC located?

Angels' Safe Haven, LLC is located at 2571 N. 149th Ave, Goodyear, AZ 85395. The listed phone number is (623) 440-4086.

What is Angels' Safe Haven, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Angels' Safe Haven, LLC was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.