Organization Active NPI

Safe Haven Senior Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Dallas, TX
National Provider Identifier
1295453702
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SAFE HAVEN SENIOR TRANSPORT LLC
Practice address
1341 W Mockingbird LN
Suite 600W-#30
Dallas, TX 75247
Phone
(972) 358-7206
NPI assigned
Aug 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Jaquita WehrlyNPI 1275260101
Title
Owner
Phone
(972) 358-7206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

1341 W Mockingbird LN
Suite 600W-#30
Dallas, TX 75247

Mailing address

2770 Bardin Rd Apt 5304
Grand Prairie, TX 75052-7300
Phone (214) 970-8794

National Provider Directory

National Provider Directory

Locations

1341 W Mockingbird Ln
Ste 600W30
Dallas, TX 75247
Phone (972) 358-7206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1295453702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 BARDIN RD APT 5304",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527300",
            "telephone_number": "214-970-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 W MOCKINGBIRD LN",
            "address_2": "SUITE 600W-#30",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75247",
            "telephone_number": "972-358-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN SENIOR TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "WEHRLY",
        "authorized_official_first_name": "JAQUITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-358-7206"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.