Provider Demographics
NPI:1811659998
Name:SAFE TRANSPORT LLC
Entity type:Organization
Organization Name:SAFE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:CLAYON
Authorized Official - Last Name:CHATELAIN
Authorized Official - Suffix:II
Authorized Official - Credentials:EMT-PARAMEDIC
Authorized Official - Phone:504-360-5283
Mailing Address - Street 1:41627 NAKIAH DR
Mailing Address - Street 2:
Mailing Address - City:PONCHATOULA
Mailing Address - State:LA
Mailing Address - Zip Code:70454-4114
Mailing Address - Country:US
Mailing Address - Phone:504-360-5283
Mailing Address - Fax:
Practice Address - Street 1:41627 NAKIAH DR
Practice Address - Street 2:
Practice Address - City:PONCHATOULA
Practice Address - State:LA
Practice Address - Zip Code:70454-4114
Practice Address - Country:US
Practice Address - Phone:504-360-5283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)