Provider Demographics
NPI:1134858723
Name:DEPENDABLE ELDER TRANSPORT LLC
Entity type:Organization
Organization Name:DEPENDABLE ELDER TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUWAIBA
Authorized Official - Middle Name:
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-208-1177
Mailing Address - Street 1:43 HOLLOWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2379
Mailing Address - Country:US
Mailing Address - Phone:201-208-1177
Mailing Address - Fax:
Practice Address - Street 1:43 HOLLOWAY AVE
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2379
Practice Address - Country:US
Practice Address - Phone:201-208-1177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No347C00000XTransportation ServicesPrivate Vehicle