Provider Demographics
NPI:1659028876
Name:GOLD TRANSPORTATION LLC
Entity Type:Organization
Organization Name:GOLD TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF THE COMPANY
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSAYYAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-938-5906
Mailing Address - Street 1:2710 RUDOLPH RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4601
Mailing Address - Country:US
Mailing Address - Phone:804-938-5906
Mailing Address - Fax:
Practice Address - Street 1:2710 RUDOLPH RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23294-4601
Practice Address - Country:US
Practice Address - Phone:804-938-5906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOHAMED ELSAYYAD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization