Provider Demographics
NPI:1164012316
Name:SQUARED AWAY VETERANS EXPRESS (SAVE)
Entity Type:Organization
Organization Name:SQUARED AWAY VETERANS EXPRESS (SAVE)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVID
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED CAREGIVER
Authorized Official - Phone:949-293-8851
Mailing Address - Street 1:134 SAW MILL RD
Mailing Address - Street 2:
Mailing Address - City:SAINT ROBERT
Mailing Address - State:MO
Mailing Address - Zip Code:65584-4711
Mailing Address - Country:US
Mailing Address - Phone:949-293-8851
Mailing Address - Fax:
Practice Address - Street 1:134 SAW MILL RD
Practice Address - Street 2:
Practice Address - City:SAINT ROBERT
Practice Address - State:MO
Practice Address - Zip Code:65584-4711
Practice Address - Country:US
Practice Address - Phone:949-293-8851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
No332100000XSuppliersDepartment of Veterans Affairs (VA) Pharmacy
No332U00000XSuppliersHome Delivered Meals
No335G00000XSuppliersMedical Foods Supplier
No3418M1110XTransportation ServicesMilitary/U.S. Coast Guard TransportMilitary or U.S. Coast Guard Ambulance, Ground Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker