Organization Active NPI

Brotherscare, LLC

  • Land Ambulance
  • Philadelphia, PA
National Provider Identifier
1174896153
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
137867 Issued in PA
Legal business name
BROTHERSCARE, LLC
Practice address
11880 Bustleton Ave
Suite 205
Philadelphia, PA 19116-2538
Phone
(267) 290-6562
NPI assigned
Feb 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Mr. Osman A Lomidze, EMT
Title
President
Phone
(267) 290-6562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 137867 PA Primary

Addresses

Primary practice location

11880 Bustleton Ave
Suite 205
Philadelphia, PA 19116-2538

Mailing address

11880 Bustleton Ave
Suite 205
Philadelphia, PA 19116-2538
Phone (267) 290-6562

National Provider Directory

National Provider Directory

Locations

27 Tomlinson Rd
Ste 102
Huntingdon Valley, PA 19006
Phone (215) 279-8458

11880 Bustleton Ave
Ste 205
Philadelphia, PA 19116
Phone (215) 279-8458

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1174896153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 BUSTLETON AVE",
            "address_2": "SUITE 205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162538",
            "telephone_number": "267-290-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 BUSTLETON AVE",
            "address_2": "SUITE 205",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162538",
            "telephone_number": "267-290-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERSCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "LOMIDZE",
        "authorized_official_first_name": "OSMAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-290-6562",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "137867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.