Provider Demographics
NPI:1447794292
Name:SAFETY1ST TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:SAFETY1ST TRANSPORTATION, LLC
Other - Org Name:KIDANE ENTERPRISES, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KIDANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-422-2376
Mailing Address - Street 1:513 HAVENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-3746
Mailing Address - Country:US
Mailing Address - Phone:833-422-2376
Mailing Address - Fax:833-422-2376
Practice Address - Street 1:513 HAVENWOOD DR
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-3746
Practice Address - Country:US
Practice Address - Phone:833-422-2376
Practice Address - Fax:833-422-2376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-13
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17330900343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)