Provider Demographics
NPI:1881802676
Name:GOODCARE INVALID COACH, INC.
Entity type:Organization
Organization Name:GOODCARE INVALID COACH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDELRAZIG
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-489-1176
Mailing Address - Street 1:2 LAKEVIEW AVE
Mailing Address - Street 2:302
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-2700
Mailing Address - Country:US
Mailing Address - Phone:732-968-9666
Mailing Address - Fax:732-418-9787
Practice Address - Street 1:2 LAKEVIEW AVE
Practice Address - Street 2:302
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-2700
Practice Address - Country:US
Practice Address - Phone:732-968-9666
Practice Address - Fax:732-418-9787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ7776501343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)