Northwest Care LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

12012 Issued in PA

Legal business name

NORTHWEST CARE LLC

Practice address

11880 Bustleton Ave
Suite 204
Philadelphia, PA 19116-2538

Phone

(215) 310-9666

Fax

(215) 966-1734

NPI assigned

Feb 28, 2012

Organization subpart

No

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

Authorized official

Name

Ansar Kambarov

Title

Vice President/ Secretary

Phone

(215) 226-7610

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1073887675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 BUSTLETON AVE",
            "address_2": "SUITE 204",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162538",
            "telephone_number": "215-310-9666",
            "fax_number": "215-966-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 BUSTLETON AVE",
            "address_2": "SUITE 204",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162538",
            "telephone_number": "215-310-9666",
            "fax_number": "215-966-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "KAMBAROV",
        "authorized_official_first_name": "ANSAR",
        "authorized_official_title_or_position": "VICE PRESIDENT/ SECRETARY",
        "authorized_official_telephone_number": "215-226-7610"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "12012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northwest Nutrition and Diabetes LLC
• Northwest Physical Therapy and Wellness Center, LLC
• Northwest Rehabilitation
• Northwest Surgical Associates

• Land Ambulance in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.