Provider Demographics
NPI:1134324569
Name:A & S INVALID COACH INC.
Entity type:Organization
Organization Name:A & S INVALID COACH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:H
Authorized Official - Last Name:HESSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-985-0315
Mailing Address - Street 1:845 BERGEN AVE
Mailing Address - Street 2:SUITE 221
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-4517
Mailing Address - Country:US
Mailing Address - Phone:201-985-0315
Mailing Address - Fax:201-985-0325
Practice Address - Street 1:845 BERGEN AVE
Practice Address - Street 2:SUITE 221
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-4517
Practice Address - Country:US
Practice Address - Phone:201-985-0315
Practice Address - Fax:201-985-0325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-16
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ7723407343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)