SAFE HAVEN HEALTH LLC
NPI 1629645288
Registered Nurse - Psychiatric/Mental Health in Brentwood, TN

Active since June 10, 2021
103 CONTINENTAL PL STE 120, BRENTWOOD, TN 37027(404) 435-9441 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Safe Haven Health Llc NPPES

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

SAFE HAVEN HEALTH LLC (NPI 1629645288) is a healthcare organization registered as a psychiatric/mental health in Brentwood, Tennessee and active in the NPI registry since June 2021. The organization lists Shawn Konata Green, Co Owner, as its authorized official.

NPPES Registry Identity

NPI1629645288
Entity TypeOrganization
Primary Taxonomy163WP0808X
Legal Business NameSAFE HAVEN HEALTH LLC
Location Address103 CONTINENTAL PL STE 120Brentwood, TN 37027-1086
Mailing Address1309 Concord Mill LnNashville, TN 37211-8632 · (404) 435-9441
Organization SubpartNo
Authorized OfficialShawn Konata GreenCo Owner · (404) 435-9441
Enumeration DateJune 10, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1629645288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
103 CONTINENTAL PL STE 120, Brentwood, TN 37027

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Safe Haven Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20220216001212Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Safe Haven Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1356896377
1314 CONCORD RD SE
Smyrna, GA 30080
(770) 438-1799
✔ PECOS198 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Health LLC's NPI number?

The NPI number for Safe Haven Health LLC is 1629645288. It was assigned to this organization in the NPPES registry on June 10, 2021.

Where is Safe Haven Health LLC located?

Safe Haven Health LLC is located at 103 Continental Pl Ste 120, Brentwood, TN 37027. The listed phone number is (404) 435-9441.

What is Safe Haven Health LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Safe Haven Health LLC enrolled in Medicare?

Yes. Safe Haven Health LLC is registered in the Medicare PECOS enrollment system.

When is Safe Haven Health LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Safe Haven Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Safe Haven Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Safe Haven Health LLC was last updated on June 10, 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.