Provider Demographics
NPI:1174280648
Name:SAFE SAIL LLC
Entity Type:Organization
Organization Name:SAFE SAIL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:ESIYEDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-707-3767
Mailing Address - Street 1:257 INDIANA AVE STE B2
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-5543
Mailing Address - Country:US
Mailing Address - Phone:219-707-3767
Mailing Address - Fax:
Practice Address - Street 1:257 INDIANA AVE STE B2
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-5543
Practice Address - Country:US
Practice Address - Phone:219-707-3767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)