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J4 STABILITY & SAFE HAVEN LLC
NPI 1467143883
Residential Treatment Facility, Emotionally Disturbed Children in Kinston, NC

Active since May 17, 2023
1308 N INDEPENDENCE ST, KINSTON, NC 28501(336) 749-5267 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About J4 Stability & Safe Haven Llc NPPES

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

J4 STABILITY & SAFE HAVEN LLC (NPI 1467143883) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Kinston, North Carolina and active in the NPI registry since May 2023. The organization lists Shadae T Williams, Owner/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1467143883
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameJ4 STABILITY & SAFE HAVEN LLC
Location Address1308 N INDEPENDENCE STKinston, NC 28501-2908
Mailing Address6201 Maurice CirRural Hall, NC 27045-9734
Phone(336) 749-5267
Organization SubpartNo
Authorized OfficialShadae T WilliamsOwner/ Ceo · (336) 749-5267
Enumeration DateMay 17, 2023
NPPES CertifiedMay 17, 2023
✔ NPI 1467143883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X
1308 N INDEPENDENCE ST, Kinston, NC 28501
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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 J4 Stability & Safe Haven LLC's NPI number?

The NPI number for J4 Stability & Safe Haven LLC is 1467143883. It was assigned to this organization in the NPPES registry on May 17, 2023.

Where is J4 Stability & Safe Haven LLC located?

J4 Stability & Safe Haven LLC is located at 1308 N Independence St, Kinston, NC 28501. The listed phone number is (336) 749-5267.

What is J4 Stability & Safe Haven LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for J4 Stability & Safe Haven LLC was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.