Provider Demographics
NPI:1255823704
Name:SAFE TRIPS TRANSPORTATION LLC
Entity type:Organization
Organization Name:SAFE TRIPS TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRINCE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKANGAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-688-3474
Mailing Address - Street 1:5528 VILLAGE CREEK PKWY N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55443-3152
Mailing Address - Country:US
Mailing Address - Phone:952-688-3474
Mailing Address - Fax:
Practice Address - Street 1:7240 BROOKLYN BLVD STE 220
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-1279
Practice Address - Country:US
Practice Address - Phone:763-202-8630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-31
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN382866343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN=========Medicaid