Provider Demographics
NPI:1669690772
Name:UNICARE INVALID COACH INC.
Entity type:Organization
Organization Name:UNICARE INVALID COACH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:ELKHALIFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-936-3687
Mailing Address - Street 1:PO BOX 6641
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-0641
Mailing Address - Country:US
Mailing Address - Phone:201-936-3687
Mailing Address - Fax:201-533-8182
Practice Address - Street 1:665 NEWARK AVE
Practice Address - Street 2:SUITE 403
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-2305
Practice Address - Country:US
Practice Address - Phone:201-936-3687
Practice Address - Fax:201-533-8182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ7732902343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)