Healthcare Provider Details

I. General information

NPI: 1316638091
Provider Name (Legal Business Name): SAFE TRIP VENTURES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28739 MAYES BLUFF DR
KATY TX
77494-3496
US

IV. Provider business mailing address

28739 MAYES BLUFF DR
KATY TX
77494-3496
US

V. Phone/Fax

Practice location:
  • Phone: 847-873-5498
  • Fax:
Mailing address:
  • Phone: 847-873-5498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: KUBURAT ADELEKE AJAO
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 847-873-5498