Safetydestination LLC

Primary specialty

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

License

L16000033470 Issued in FL

Legal business name

SAFETYDESTINATION LLC

Doing business as

Safetydestination

Practice address

19473 NW 87TH CT
Hialeah, FL 33018-6216

Phone

03057724947

NPI assigned

Jul 20, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Nelson Costa Jr., GM

Title

Manager

Phone

(305) 772-4947

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SAFETYDESTINATION Doing business as

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1902329089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19473 NW 87TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186216",
            "telephone_number": "03057724947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19473 NW 87TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330186216",
            "telephone_number": "03057724947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFETYDESTINATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-772-4947",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "GM"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "L16000033470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEMT",
            "identifier": "81-15202010",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAFETYDESTINATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.