Organization Active NPI

Saferoll LLC

  • Non-emergency Medical Transport (VAN)
  • Brooklyn Park, MN
National Provider Identifier
1184487571
Registry record updated Feb 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SAFEROLL LLC
Practice address
8216 67TH Ave N
Brooklyn Park, MN 55428-2149
Phone
(763) 458-8321
NPI assigned
Jan 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2024

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

Authorized official

Name
Tyrus Jenkins
Title
Ceo
Phone
(763) 458-8321

Specialties & licenses 1

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

Addresses

Primary practice location

8216 67TH Ave N
Brooklyn Park, MN 55428-2149

Mailing address

8216 67TH Ave N
Brooklyn Park, MN 55428-2149
Phone (763) 458-8321

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707523200000",
    "number": "1184487571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8216 67TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554282149",
            "telephone_number": "763-458-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8216 67TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554282149",
            "telephone_number": "763-458-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEROLL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "TYRUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-458-8321"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; 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.