MEDICARE: PENN HOPE TRANSPORT INC

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	:	1992678882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENN HOPE TRANSPORT INC

Provider Business Mailing Address
First Line	:	2000 S LARRY ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19142-1142
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 S LARRY ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19142-1142
Country	:	US
Telephone Number	:	267-237-3472
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SYLVIA KABBA
Credential	:
Telephone Number	:	267-237-3472

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	09/26/2025

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