Provider Demographics
NPI:1023804598
Name:SAFE & SECURE TRANSPORTATION LLC
Entity type:Organization
Organization Name:SAFE & SECURE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FERNANDZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-900-4286
Mailing Address - Street 1:6751 N SUNSET BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85305-3155
Mailing Address - Country:US
Mailing Address - Phone:602-774-0185
Mailing Address - Fax:602-774-0185
Practice Address - Street 1:6751 N SUNSET BLVD STE 320
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85305-3155
Practice Address - Country:US
Practice Address - Phone:602-774-0185
Practice Address - Fax:602-774-0185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)