Organization Active NPI

Noble Care Ambulance, Inc

  • Land Ambulance
  • Philadelphia, PA
National Provider Identifier
1376986133
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
13006 Issued in PA
Legal business name
NOBLE CARE AMBULANCE, INC
Practice address
8040 Roosevelt Blvd
Suite 304
Philadelphia, PA 19152-2923
Phone
(215) 948-2770
Fax
(866) 215-2891
NPI assigned
Apr 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Mr. Ilya Golubtsov
Title
President
Phone
(215) 948-2770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 13006 PA Primary

Addresses

Primary practice location

8040 Roosevelt Blvd
Suite 304
Philadelphia, PA 19152-2923

Mailing address

8040 Roosevelt Blvd
Suite 304
Philadelphia, PA 19152-2923
Phone (215) 948-2770

National Provider Directory

National Provider Directory

Locations

8040 Roosevelt Blvd
Ste 304
Philadelphia, PA 19152
Phone (215) 948-2770

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1376986133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 ROOSEVELT BLVD",
            "address_2": "SUITE 304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522923",
            "telephone_number": "215-948-2770",
            "fax_number": "866-215-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 ROOSEVELT BLVD",
            "address_2": "SUITE 304",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522923",
            "telephone_number": "215-948-2770",
            "fax_number": "866-215-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE CARE AMBULANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "GOLUBTSOV",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-948-2770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "13006",
            "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 Apr 11, 2013; 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.