Organization Active NPI

Carewell Inc

Doing business as Carewell Medical Transportation

  • Ambulance
  • Huntingdon Valley, PA
National Provider Identifier
1336417765
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
12002 Issued in PA
Legal business name
CAREWELL INC
Doing business as
Carewell Medical Transportation
Practice address
1051 County Line Rd
Suite 104
Huntingdon Valley, PA 19006-1234
Phone
(267) 506-8019
NPI assigned
Dec 13, 2011
Last updated
Mar 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Mr. Andrey Fedotov, EMT
Title
Owner
Phone
(267) 506-8016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 12002 PA Primary

Addresses

Primary practice location

1051 County Line Rd
Suite 104
Huntingdon Valley, PA 19006-1234

Mailing address

1051 County Line Rd
Suite 104
Huntingdon Valley, PA 19006-1234
Phone (267) 506-8019

Other identifiers 1

IdentifierTypeStateIssuer
12002OtherPAMEDICARE HIGHMARK

Other names 1

  • CAREWELL MEDICAL TRANSPORTATION Doing business as

National Provider Directory

National Provider Directory

Locations

1051 County Line Rd
Ste 104
Huntingdon Valley, PA 19006
Phone (215) 322-7057

1051 County Line Rd
#104
Huntingdon Vy, PA 19006
Phone (267) 506-8016

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1336417765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 COUNTY LINE RD",
            "address_2": "SUITE 104",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061234",
            "telephone_number": "267-506-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 COUNTY LINE RD",
            "address_2": "SUITE 104",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190061234",
            "telephone_number": "267-506-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREWELL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "FEDOTOV",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-506-8016",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "12002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HIGHMARK",
            "identifier": "12002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAREWELL MEDICAL TRANSPORTATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntingdon Valley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.