Provider Demographics
NPI:1730069527
Name:PHARAOH'S TRANSPORTATION CARE LLC
Entity type:Organization
Organization Name:PHARAOH'S TRANSPORTATION CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHADY
Authorized Official - Middle Name:
Authorized Official - Last Name:GENDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-655-6556
Mailing Address - Street 1:1020 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:PA
Mailing Address - Zip Code:17512-1848
Mailing Address - Country:US
Mailing Address - Phone:717-655-6556
Mailing Address - Fax:
Practice Address - Street 1:1020 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:PA
Practice Address - Zip Code:17512-1848
Practice Address - Country:US
Practice Address - Phone:717-655-6556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)