Healthcare Provider Details

I. General information

NPI: 1134083033
Provider Name (Legal Business Name): SAFE PATH TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 MELVILLE AVE
FAIRFIELD CT
06825-2001
US

IV. Provider business mailing address

24 MELVILLE AVE
FAIRFIELD CT
06825-2001
US

V. Phone/Fax

Practice location:
  • Phone: 203-998-0106
  • Fax:
Mailing address:
  • Phone: 203-998-0106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JUSTINE BAUTISTA
Title or Position: PRINCIPAL
Credential:
Phone: 203-904-4354