A SAFE HAVEN, L.L.C.
NPI 1821872565
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since August 23, 2023
3857 W POLK ST, CHICAGO, IL 60624(312) 372-6707 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About A Safe Haven, L.l.c. NPPES

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

A SAFE HAVEN, L.L.C. (NPI 1821872565) is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since August 2023. The organization lists Melanie Dzado, Insurance Billing And Verification, as its authorized official.

NPPES Registry Identity

NPI1821872565
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameA SAFE HAVEN, L.L.C.
Location Address3857 W POLK STChicago, IL 60624-4018
Mailing Address15507 Cicero AveOak Forest, IL 60452-3629 · (312) 372-6707
Organization SubpartNo
Authorized OfficialMelanie DzadoInsurance Billing And Verification · (312) 372-6707
Enumeration DateAugust 23, 2023
NPPES CertifiedAugust 23, 2023
✔ NPI 1821872565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
3857 W POLK ST, Chicago, IL 60624

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

A Safe Haven, L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

Psychiatry
NPI 1871592881
500 COVENTRY LN SUITE 205
Crystal Lake, IL 60014
(815) 455-7100
✔ PECOS✔ Accepts Medicare40 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 A Safe Haven, L.L.C.'s NPI number?

The NPI number for A Safe Haven, L.L.C. is 1821872565. It was assigned to this organization in the NPPES registry on August 23, 2023.

Where is A Safe Haven, L.L.C. located?

A Safe Haven, L.L.C. is located at 3857 W Polk St, Chicago, IL 60624. The listed phone number is (312) 372-6707.

What is A Safe Haven, L.L.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is A Safe Haven, L.L.C. enrolled in Medicare?

Yes. A Safe Haven, L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through A Safe Haven, L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to A Safe Haven, L.L.C.. 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 A Safe Haven, L.L.C. was last updated on August 23, 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.