Healthcare Provider Details

I. General information

NPI: 1164243184
Provider Name (Legal Business Name): THE SAFE COMMUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2024
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 AVALON PKWY STE 365
MCDONOUGH GA
30253-3089
US

IV. Provider business mailing address

2020 AVALON PKWY STE 365
MCDONOUGH GA
30253-3089
US

V. Phone/Fax

Practice location:
  • Phone: 678-689-3710
  • Fax: 770-520-7073
Mailing address:
  • Phone: 678-689-3710
  • Fax: 770-520-7073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. KELVIN LEON HAWKINS JR.
Title or Position: OWNER
Credential:
Phone: 678-689-3710