Organization Active NPI

Perfect Care Transport

  • Land Ambulance
  • Philadelphia, PA
National Provider Identifier
1417636341
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PERFECT CARE TRANSPORT
Practice address
4871 Summerdale Ave Unit 3
Philadelphia, PA 19124-2342
Phone
(267) 760-1599
NPI assigned
Jul 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Dajon Worrells, EMT-BNPI 1598463291
Title
Ceo
Phone
(267) 760-1599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

4871 Summerdale Ave Unit 3
Philadelphia, PA 19124-2342

Mailing address

4871 Summerdale Ave Unit 3
Philadelphia, PA 19124-2342
Phone (267) 760-1599

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230919000024 PA Part B Supplier - Ambulance Service Supplier 1951765304 Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

4871 Summerdale Ave
Unit 3
Philadelphia, PA 19124
Phone (267) 760-1599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1417636341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4871 SUMMERDALE AVE UNIT 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242342",
            "telephone_number": "267-760-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4871 SUMMERDALE AVE UNIT 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242342",
            "telephone_number": "267-760-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT CARE TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "WORRELLS",
        "authorized_official_first_name": "DAJON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-760-1599",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "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 Jul 17, 2023; 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.