Organization Active NPI

Procare Ambulance of Maryland Inc

  • Land Ambulance
  • Rosedale, MD
National Provider Identifier
1407815988
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PROCARE AMBULANCE OF MARYLAND INC
Practice address
9411 Philadelphia Rd Ste a
Rosedale, MD 21237-4168
Phone
(410) 823-0030
Fax
(410) 823-7475
NPI assigned
Mar 22, 2006
Last updated
Jul 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Authorized official

Name
Mr. Cameron Ailiff
Title
Owner
Phone
(410) 823-0030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

9411 Philadelphia Rd Ste a
Rosedale, MD 21237-4168

Mailing address

2037 Rosetta Way
Davidsonville, MD 21035
Phone (410) 823-0030

Other identifiers 1

IdentifierTypeStateIssuer
TR75OtherMDBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050910000021 MD Part B Supplier - Ambulance Service Supplier 6901838960 Practice locations: Baltimore, MD; Landover, MD; Linthicum, MD

National Provider Directory

National Provider Directory

Locations

2140 Priest Bridge Ct
Crofton, MD 21114
Phone (410) 823-0030

1867 Brightseat Rd
Landover Ofc
Landover, MD 27085
Phone 41082300301

6953 Golden Ring Rd
Rosedale, MD 21237

9411 Philadelphia Rd
Ste A
Rosedale, MD 21237
Phone (410) 823-0030

305 York Rd
Towson, MD 21204
Phone (410) 823-0030

305 York Rd
#2
Towson, MD 21204

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1407815988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 ROSETTA WAY",
            "city": "DAVIDSONVILLE",
            "state": "MD",
            "postal_code": "21035",
            "telephone_number": "410-823-0030",
            "fax_number": "410-823-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9411 PHILADELPHIA RD STE A",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212374168",
            "telephone_number": "410-823-0030",
            "fax_number": "410-823-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE AMBULANCE OF MARYLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "AILIFF",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-823-0030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "TR75",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.