Organization Active NPI

Chicago Safe Ride LLC

Doing business as Chicago Safe Ride

  • Non-emergency Medical Transport (VAN)
  • Chicago, IL
National Provider Identifier
1073394623
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CHICAGO SAFE RIDE LLC
Doing business as
Chicago Safe Ride
Practice address
6530 N Clark St
Chicago, IL 60626-6462
Phone
(773) 443-6119
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kidane Haile
Title
Owner
Phone
(773) 443-6119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

6530 N Clark St
Chicago, IL 60626-6462

Mailing address

5030 N Marine Dr Apt 1912
Chicago, IL 60640-3384
Phone (773) 443-6119

Other names 1

  • CHICAGO SAFE RIDE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1073394623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 N MARINE DR APT 1912",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403384",
            "telephone_number": "773-443-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606266462",
            "telephone_number": "773-443-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO SAFE RIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "HAILE",
        "authorized_official_first_name": "KIDANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-443-6119"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHICAGO SAFE RIDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.