Provider Demographics
NPI:1184438806
Name:SAFE ROUTES TRANSPORTATION LLC
Entity type:Organization
Organization Name:SAFE ROUTES TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IVANDRO
Authorized Official - Middle Name:HERCULANO
Authorized Official - Last Name:SEMEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-444-2155
Mailing Address - Street 1:39 BOYDEN ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-2303
Mailing Address - Country:US
Mailing Address - Phone:774-444-2155
Mailing Address - Fax:
Practice Address - Street 1:39 BOYDEN ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02302-2303
Practice Address - Country:US
Practice Address - Phone:774-444-2155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes347B00000XTransportation ServicesBus
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty