Healthcare Provider Details

I. General information

NPI: 1528973237
Provider Name (Legal Business Name): CARE CRAFT TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4423 BENDER CT
BURTONSVILLE MD
20866-2230
US

IV. Provider business mailing address

4423 BENDER CT
BURTONSVILLE MD
20866-2230
US

V. Phone/Fax

Practice location:
  • Phone: 240-753-5685
  • Fax: 240-753-5685
Mailing address:
  • Phone: 240-753-5685
  • Fax: 240-753-5685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: ALI DJIM
Title or Position: CEO
Credential:
Phone: 240-753-5685