Provider Demographics
NPI:1174383343
Name:CARECRUISER LLC
Entity type:Organization
Organization Name:CARECRUISER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NOTARY PUBLIC
Authorized Official - Prefix:MS
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:#HH 163 153
Authorized Official - Phone:863-262-8857
Mailing Address - Street 1:1710 KENDRICK LN
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-2506
Mailing Address - Country:US
Mailing Address - Phone:863-262-8857
Mailing Address - Fax:
Practice Address - Street 1:1710 KENDRICK LN
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-2506
Practice Address - Country:US
Practice Address - Phone:863-262-8857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle