MEDICARE: HERE FOR YOU TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1396565149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERE FOR YOU TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	1135 MCKINLEY ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-5831
Country	:	US
Telephone Number	:	215-259-8646
Fax Number	:

Provider Business Practice Location Address
First Line	:	1135 MCKINLEY ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-5831
Country	:	US
Telephone Number	:	215-259-8646
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SHAKIRAH NICOLE DUCKETT
Credential	:
Telephone Number	:	215-259-8646

Provider Enumeration Date	:	10/16/2024
Last Update Date	:	10/17/2024

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