MEDICARE: CARECONNECT TRANSPORT

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	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1306707484
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARECONNECT TRANSPORT

Provider Business Mailing Address
First Line	:	701 E PIONEER PKWY STE D
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-8556
Country	:	US
Telephone Number	:	800-620-5350
Fax Number	:	972-854-7970

Provider Business Practice Location Address
First Line	:	701 E PIONEER PKWY STE D
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-8556
Country	:	US
Telephone Number	:	972-400-3040
Fax Number	:	972-400-3040

Authorized Official
Title or Position	:	OWNER
Name	:	SAFIA SHALE ISSACK
Credential	:
Telephone Number	:	972-400-3040

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	12/05/2025

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Directions to “CARECONNECT TRANSPORT ” Practice Location

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