Provider Demographics
NPI:1104633171
Name:SAFERIDE CARE LLC
Entity type:Organization
Organization Name:SAFERIDE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:KOMLAN
Authorized Official - Middle Name:EFOUABOE
Authorized Official - Last Name:AMEKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-849-0937
Mailing Address - Street 1:137 COMPASSION CIR # 137
Mailing Address - Street 2:
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-2402
Mailing Address - Country:US
Mailing Address - Phone:636-849-0937
Mailing Address - Fax:
Practice Address - Street 1:137 COMPASSION CIR # 137
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-2402
Practice Address - Country:US
Practice Address - Phone:636-849-0937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)