MEDICARE: CARECRUISERS 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1174243356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARECRUISERS LLC

Provider Business Mailing Address
First Line	:	2134 BAY COVE CT
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-5201
Country	:	US
Telephone Number	:	708-926-1081
Fax Number	:

Provider Business Practice Location Address
First Line	:	2134 BAY COVE CT
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-5201
Country	:	US
Telephone Number	:	708-926-1081
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DRIVER
Name	:	THOMAS JULIAN BELLAH
Credential	:
Telephone Number	:	708-926-1081

Provider Enumeration Date	:	08/30/2022
Last Update Date	:	08/30/2022

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Directions to “CARECRUISERS LLC ” Practice Location

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