Active NPI
J&K Haldeman, LLC
- Ambulance
- Landenberg, PA
National Provider Identifier
1063484418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 15203
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30023732 | Other | PA | KEYSTONE MERCY |
| 076200 | Other | PA | BC/BS |
| 0197493902 | Medicaid | PA |
Other names 1
- Stat Care Ambulance Services
National Provider Directory
National Provider DirectoryNPI 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.