Provider Demographics
NPI:1265084107
Name:SAFECARE TRANSPORT, LLC,
Entity type:Organization
Organization Name:SAFECARE TRANSPORT, LLC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:EVELYN
Authorized Official - Suffix:
Authorized Official - Credentials:PMP
Authorized Official - Phone:941-800-2273
Mailing Address - Street 1:15 PARADISE PLZ # 221
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6905
Mailing Address - Country:US
Mailing Address - Phone:941-800-2273
Mailing Address - Fax:941-800-2273
Practice Address - Street 1:18821 BIANCHI STRRET
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293
Practice Address - Country:US
Practice Address - Phone:941-800-2273
Practice Address - Fax:941-800-2273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)