Healthcare Provider Details

I. General information

NPI: 1023955176
Provider Name (Legal Business Name): EVERSAFE TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 LAKESIDE DR APT 316C
WEST CHESTER OH
45069-4469
US

IV. Provider business mailing address

6800 LAKESIDE DR APT 316C
WEST CHESTER OH
45069-4469
US

V. Phone/Fax

Practice location:
  • Phone: 917-941-8161
  • Fax: 917-941-8161
Mailing address:
  • Phone: 917-941-8161
  • Fax: 917-941-8161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: KAMEL BOUSSAHA
Title or Position: OWNER
Credential: BOUSSAHA
Phone: 917-941-8161