Provider Demographics
NPI:1366123663
Name:SAFETY NET HOME SOLUTIONS, LLC
Entity type:Organization
Organization Name:SAFETY NET HOME SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:BANNAN
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:631-514-9730
Mailing Address - Street 1:7 MERRIVALE DR
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-4414
Mailing Address - Country:US
Mailing Address - Phone:631-240-2484
Mailing Address - Fax:
Practice Address - Street 1:95 MOREWOOD DR
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2306
Practice Address - Country:US
Practice Address - Phone:631-240-2484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies