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Safe Haven Home LLC

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Company Details

Name: Safe Haven Home LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 30 Dec 2024 (7 months ago)
Business ID: 1470101
ZIP code: 39648
County: Pike
State of Incorporation: MISSISSIPPI
Principal Office Address: 1080 Great Point RoadMcComb, MS 39648

Agent

Name Role Address
LaToya Renee Cameron Agent 1080 Great Point Road, McComb, MS 39648

Manager

Name Role Address
Tamarreius Qarshunn Good Manager 140 Hamburg Road NW, Roxie, MS 39661

National Provider Identifier

NPI Number:
1043008329
Certification Date:
2025-04-18

Authorized Person:

Name:
MISS LATOYA RENEE CAMERON
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
No
Selected Taxonomy:
385H00000X - Respite Care
Is Primary:
No
Selected Taxonomy:
3104A0625X - Assisted Living Facility (Mental Illness)
Is Primary:
No
Selected Taxonomy:
315P00000X - Intellectual Disabilities Intermediate Care Facility
Is Primary:
No
Selected Taxonomy:
320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-28 Annual Report For Safe Haven Home LLC
Formation Form Filed 2024-12-30 Formation For Safe Haven Home LLC

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Date of last update: 30 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website