MEDICARE: EVERSAFE 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	:	1679430391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERSAFE LLC

Provider Business Mailing Address
First Line	:	1030 RIVENOAK ST
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-5738
Country	:	US
Telephone Number	:	612-227-1326
Fax Number	:

Provider Business Practice Location Address
First Line	:	1030 RIVENOAK ST
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-5738
Country	:	US
Telephone Number	:	612-227-1326
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ESAU GOTLIEB
Credential	:
Telephone Number	:	612-227-1326

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “EVERSAFE LLC ” Practice Location

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