Healthcare Provider Details

I. General information

NPI: 1194689125
Provider Name (Legal Business Name): RIDE AID TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1407 LINCOLN AVE
PITTSBURGH PA
15206-1994
US

IV. Provider business mailing address

3969 6TH AVE
ALTOONA PA
16602-1654
US

V. Phone/Fax

Practice location:
  • Phone: 412-522-3262
  • Fax: 412-522-3262
Mailing address:
  • Phone: 206-376-3748
  • Fax: 206-376-3748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: MOHAMED ELTAYEB
Title or Position: MANGER
Credential: MR
Phone: 206-376-3748