NPIMap

Organization Active NPI

Safe & Reliable Medical Non-Emergency Transportation Sarmn

  • Driver
  • Goodyear, AZ
National Provider Identifier
1760128383
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Legal business name
SAFE & RELIABLE MEDICAL NON-EMERGENCY TRANSPORTATION SARMN
Practice address
15368 W Glenrosa Ave
Goodyear, AZ 85395-6331
Phone
(623) 299-6853
NPI assigned
May 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Kenyata Samuel Mangar
Title
Owner
Phone
(623) 299-6853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193400000X SINGLE SPECIALTY GROUP 172A00000X Primary

Addresses

Primary practice location

15368 W Glenrosa Ave
Goodyear, AZ 85395-6331

Mailing address

15368 W Glenrosa Ave
Goodyear, AZ 85395-6331
Phone (623) 299-6853

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1760128383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15368 W GLENROSA AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853956331",
            "telephone_number": "623-299-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15368 W GLENROSA AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853956331",
            "telephone_number": "623-299-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE & RELIABLE MEDICAL NON-EMERGENCY TRANSPORTATION SARMN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "MANGAR",
        "authorized_official_first_name": "KENYATA",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-299-6853"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.