Organization Active NPI

Angel's Care Inc

  • Land Ambulance
  • Philadelphia, PA
National Provider Identifier
1669532628
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
324692 Issued in PA
Legal business name
ANGEL'S CARE INC
Practice address
3901 Conshohocken Ave
Suite 2
Philadelphia, PA 19131-5430
Phone
(215) 288-5200
Fax
(215) 473-1122
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Eugene Goldshteyn
Title
Vice President
Phone
(215) 288-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 324692 PA Primary

Addresses

Primary practice location

3901 Conshohocken Ave
Suite 2
Philadelphia, PA 19131-5430

Mailing address

PO Box 52402
Philadelphia, PA 19115-7402
Phone (215) 288-5200

Other identifiers 1

IdentifierTypeStateIssuer
1013539660001MedicaidPA

National Provider Directory

National Provider Directory

Locations

10890 Bustleton Ave
Ste 210
Philadelphia, PA 19116
Phone (215) 288-5200

3901 Conshohocken Ave
Ste 2
Philadelphia, PA 19131
Phone (215) 288-5200

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669532628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52402",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191157402",
            "telephone_number": "215-288-5200",
            "fax_number": "215-473-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CONSHOHOCKEN AVE",
            "address_2": "SUITE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315430",
            "telephone_number": "215-288-5200",
            "fax_number": "215-473-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL'S CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSHTEYN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "215-288-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "324692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013539660001",
            "state": "PA"
        }
    ],
    "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 Aug 22, 2020; 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.