Provider Demographics
NPI:1487284576
Name:VIP (NEMT) SAFE TRANSPORTATION LLC
Entity type:Organization
Organization Name:VIP (NEMT) SAFE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUAL
Authorized Official - Middle Name:MARAC
Authorized Official - Last Name:DAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-291-2848
Mailing Address - Street 1:5513 KANSAS DR
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50014-3105
Mailing Address - Country:US
Mailing Address - Phone:515-291-2848
Mailing Address - Fax:
Practice Address - Street 1:5513 KANSAS DR
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50014-3105
Practice Address - Country:US
Practice Address - Phone:515-291-2848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)