Provider Demographics
NPI:1639729783
Name:ALANA MED INVALID COACH LLC
Entity Type:Organization
Organization Name:ALANA MED INVALID COACH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:R
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:DRIVER
Authorized Official - Phone:201-376-7142
Mailing Address - Street 1:200 SPRING VALLEY AVE
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-2944
Mailing Address - Country:US
Mailing Address - Phone:201-656-2350
Mailing Address - Fax:201-656-1719
Practice Address - Street 1:200 SPRING VALLEY AVE
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-2944
Practice Address - Country:US
Practice Address - Phone:201-656-2350
Practice Address - Fax:201-656-1719
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANDRA GREEN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)