Provider Demographics
NPI:1558142315
Name:RUBEENA ENTERPRISE LLC
Entity Type:Organization
Organization Name:RUBEENA ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-775-7689
Mailing Address - Street 1:26 POOLE AVE
Mailing Address - Street 2:
Mailing Address - City:GLOVERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12078-1946
Mailing Address - Country:US
Mailing Address - Phone:518-775-7689
Mailing Address - Fax:
Practice Address - Street 1:26 POOLE AVE
Practice Address - Street 2:
Practice Address - City:GLOVERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12078-1946
Practice Address - Country:US
Practice Address - Phone:518-775-7689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)