National Provider Identifier Database

JIMERSON SAFE HAVEN
Private Vehicle

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.


Contact Information

JIMERSON SAFE HAVEN
135 SWEETBRIAR CIRCLE
MOORESBORO, NC28114
Phone: 704-434-0085
Fax: 704-434-0085
Website:
Specialty Taxonomy Code
* Private Vehicle 347C00000X
Case Management 251B00000X
Community/Behavioral Health 251S00000X
Foster Care Agency 253J00000X
Local Education Agency (LEA) 251300000X
Public Health or Welfare 251K00000X

* Indicates primary specialty

NPI Profile & details for JIMERSON SAFE HAVEN

NPI Number 1467862219
Legal business name
LBN
JIMERSON SAFE HAVEN
Authorized official JANITA TUCKER - (EXCUTIVE)
Entity Organization
Organization subpart No
Enumeration date 05/02/2014
Last updated 05/16/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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