Provider Demographics
NPI:1881477214
Name:SAFEGUARD TRANSPORT LLC
Entity type:Organization
Organization Name:SAFEGUARD TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YONAS
Authorized Official - Middle Name:
Authorized Official - Last Name:YIRDAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-400-1844
Mailing Address - Street 1:22901 E CHENANGO AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1873
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:22901 E CHENANGO AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1873
Practice Address - Country:US
Practice Address - Phone:720-400-1844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)