Safeway Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

SAFEWAY TRANSPORTATION LLC

Practice address

120 Oak Valley Dr Apt A11
Nashville, TN 37207-2962

Phone

(312) 975-6397

NPI assigned

Jan 22, 2018

Organization subpart

No

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

Authorized official

Name

Elshazli Mohamed

Title

Owner

Phone

(312) 975-6397

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1366950578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 DOUBLETREE LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372173425",
            "telephone_number": "615-524-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OAK VALLEY DR APT A11",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072962",
            "telephone_number": "312-975-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ELSHAZLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-975-6397"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229689971",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Nashville, TN
• Providers in Nashville, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.