Provider Demographics
NPI:1063744977
Name:SAFE & CARE TRANSPORTATION, CORP
Entity type:Organization
Organization Name:SAFE & CARE TRANSPORTATION, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOZAMIL
Authorized Official - Middle Name:GABIR
Authorized Official - Last Name:ABDELRAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-907-4474
Mailing Address - Street 1:18833 N 43RD PLACE
Mailing Address - Street 2:
Mailing Address - City:PHOENIZ
Mailing Address - State:AZ
Mailing Address - Zip Code:85050
Mailing Address - Country:US
Mailing Address - Phone:480-907-4474
Mailing Address - Fax:480-944-1124
Practice Address - Street 1:17020 N 32ND ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032
Practice Address - Country:US
Practice Address - Phone:480-639-9003
Practice Address - Fax:480-994-1124
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAFE & CARE TRANSPORTATION, CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-02
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ487078343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)