Provider Demographics
NPI:1851382832
Name:SENIOR TRANSPORTATION AND INVALID COACH SERVICE, INC.
Entity type:Organization
Organization Name:SENIOR TRANSPORTATION AND INVALID COACH SERVICE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BASHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-407-9897
Mailing Address - Street 1:707 WHITE HORSE PIKE
Mailing Address - Street 2:SUITE B-7
Mailing Address - City:ABSECON
Mailing Address - State:NJ
Mailing Address - Zip Code:08201-1458
Mailing Address - Country:US
Mailing Address - Phone:609-407-9897
Mailing Address - Fax:609-407-9537
Practice Address - Street 1:707 WHITE HORSE PIKE
Practice Address - Street 2:SUITE B-7
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-1458
Practice Address - Country:US
Practice Address - Phone:609-407-9897
Practice Address - Fax:609-407-9537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-31
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6880304Medicaid
NJ8822336Medicaid
NJ047815Medicare ID - Type UnspecifiedMEDICARE IDENTIFIER