Provider Demographics
NPI:1720865686
Name:SAFE START TRANSPORT LLC
Entity Type:Organization
Organization Name:SAFE START TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RACHID
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYOUBI IDRISSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-715-1221
Mailing Address - Street 1:103 IONE DR
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-6669
Mailing Address - Country:US
Mailing Address - Phone:203-715-1221
Mailing Address - Fax:
Practice Address - Street 1:103 IONE DR
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-6669
Practice Address - Country:US
Practice Address - Phone:203-715-1221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company