MEDICARE: SAFE ZONE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1629927223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE ZONE LLC

Provider Business Mailing Address
First Line	:	5706 N DEXTER AVE
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-4212
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5706 N DEXTER AVE
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-4212
Country	:	US
Telephone Number	:	414-499-4385
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CHA'MY SMITH
Credential	:
Telephone Number	:	414-499-4385

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “SAFE ZONE LLC ” Practice Location

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