MEDICARE: SAFE JOURNEY TRANSPORT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1396637344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFE JOURNEY TRANSPORT LLC

Provider Business Mailing Address
First Line	:	2929 CHICAGO AVE APT 240
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-4202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2929 CHICAGO AVE APT 217
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1546
Country	:	US
Telephone Number	:	612-297-0819
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ABDURAHMAN AIDARUS MOHAMED
Credential	:
Telephone Number	:	612-297-0819

Provider Enumeration Date	:	07/16/2025
Last Update Date	:	07/16/2025

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