Provider Demographics
NPI:1043084510
Name:DREAM CARE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:DREAM CARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RODAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ESAYAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-814-3309
Mailing Address - Street 1:13000 HARBOR CENTER DR STE 362
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-2846
Mailing Address - Country:US
Mailing Address - Phone:703-814-3309
Mailing Address - Fax:
Practice Address - Street 1:13000 HARBOR CENTER DR STE 362
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2846
Practice Address - Country:US
Practice Address - Phone:703-814-3309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No3416L0300XTransportation ServicesAmbulanceLand Transport
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker