Organization Active NPI

J&K Haldeman, LLC

  • Ambulance
  • Landenberg, PA
National Provider Identifier
1063484418
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
15203 Issued in PA
Legal business name
J&K HALDEMAN, LLC
Practice address
117 Glenloch Dr
Landenberg, PA 19350-9663
Phone
(610) 255-5915
Fax
(610) 255-2455
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jason Haldeman, EMT-I
Title
President
Phone
(610) 255-5915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 15203 PA Primary

Addresses

Primary practice location

117 Glenloch Dr
Landenberg, PA 19350-9663

Mailing address

117 Glenloch Dr
Landenberg, PA 19350-9663
Phone (610) 255-5915

Other identifiers 3

IdentifierTypeStateIssuer
30023732OtherPAKEYSTONE MERCY
076200OtherPABC/BS
0197493902MedicaidPA

Other names 1

  • Stat Care Ambulance Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063484418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 GLENLOCH DR",
            "city": "LANDENBERG",
            "state": "PA",
            "postal_code": "193509663",
            "telephone_number": "610-255-5915",
            "fax_number": "610-255-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 GLENLOCH DR",
            "city": "LANDENBERG",
            "state": "PA",
            "postal_code": "193509663",
            "telephone_number": "610-255-5915",
            "fax_number": "610-255-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&K HALDEMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALDEMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-255-5915",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-I"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "15203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30023732",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "076200",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197493902",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stat Care Ambulance Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Landenberg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.