NPIMap

Organization Active NPI

Safe Drive 1 LLC

  • Non-emergency Medical Transport (VAN)
  • Rock Island, TN
National Provider Identifier
1508634940
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SAFE DRIVE 1 LLC
Practice address
631 Farrell Rogers Rd
Rock Island, TN 38581-3642
Phone
(540) 656-1393
NPI assigned
Dec 14, 2023
Last updated
Dec 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Authorized official

Name
Laith Abdalfattah AbuomranNPI 1710537832
Title
Manager
Phone
(540) 656-1393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

631 Farrell Rogers Rd
Rock Island, TN 38581-3642

Mailing address

631 Farrell Rogers Rd
Rock Island, TN 38581-3642
Phone (540) 656-1393

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1508634940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 FARRELL ROGERS RD",
            "city": "ROCK ISLAND",
            "state": "TN",
            "postal_code": "385813642",
            "telephone_number": "540-656-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 FARRELL ROGERS RD",
            "city": "ROCK ISLAND",
            "state": "TN",
            "postal_code": "385813642",
            "telephone_number": "540-656-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE DRIVE 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "ABUOMRAN",
        "authorized_official_first_name": "LAITH",
        "authorized_official_middle_name": "ABDALFATTAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "540-656-1393"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.