Provider Demographics
NPI:1154533594
Name:DEENA INVALID COACH, INC.
Entity type:Organization
Organization Name:DEENA INVALID COACH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MERGHANI
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-417-1634
Mailing Address - Street 1:520 WESTFIELD AVE
Mailing Address - Street 2:202A
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-1658
Mailing Address - Country:US
Mailing Address - Phone:908-353-1989
Mailing Address - Fax:908-353-0036
Practice Address - Street 1:520 WESTFIELD AVE
Practice Address - Street 2:202A
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-1658
Practice Address - Country:US
Practice Address - Phone:908-353-1989
Practice Address - Fax:908-353-0036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ7727003343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)