Provider Demographics
NPI:1689168213
Name:EXTRA CARE TRANSPORTATION INC
Entity Type:Organization
Organization Name:EXTRA CARE TRANSPORTATION INC
Other - Org Name:EXTRA CARE TRANSPORTATION CORP
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:FADIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-618-8883
Mailing Address - Street 1:83 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-2517
Mailing Address - Country:US
Mailing Address - Phone:551-998-8010
Mailing Address - Fax:201-205-2206
Practice Address - Street 1:83 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-2517
Practice Address - Country:US
Practice Address - Phone:551-998-8010
Practice Address - Fax:201-205-2206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)