Healthcare Provider Details

I. General information

NPI: 1073438172
Provider Name (Legal Business Name): SCENESAFE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14765 HIGHLAND AVE
ORLAND PARK IL
60462-3049
US

IV. Provider business mailing address

14765 HIGHLAND AVE
ORLAND PARK IL
60462-3049
US

V. Phone/Fax

Practice location:
  • Phone: 469-408-8180
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: TUSHAR JAIN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 469-408-8180