Active NPI
Life Alert Ambulance Inc
- Land Ambulance
- Huntingdon Valley, PA
National Provider Identifier
1881066397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 11016
- Legal business name
- LIFE ALERT AMBULANCE INC
- Practice address
- 380 Red Lion Rd Ste 216
Huntingdon Valley, PA 19006-6451 - Phone
- (215) 850-0590
- Fax
- (215) 689-3496
- NPI assigned
- Oct 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Perdigao
- Title
- President
- Phone
- (215) 850-0590
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 11016 | PA | |
| Land Ambulance | 3416L0300X | 11016 | PA | Primary |
| Non-emergency Medical Transport (VAN) | 343900000X | A-2012-2304624 | PA |
Addresses
Primary practice location
380 Red Lion Rd Ste 216
Huntingdon Valley, PA 19006-6451
Mailing address
380 Red Lion Rd Ste 216
Huntingdon Valley, PA 19006-6451
Phone (215) 850-0590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026036150001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
380 Red Lion Rd
Ste 216
Huntingdon Valley, PA 19006
Phone (215) 850-0590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445558400000",
"number": "1881066397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 RED LION RD STE 216",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190066451",
"telephone_number": "215-850-0590",
"fax_number": "215-689-3496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 RED LION RD STE 216",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190066451",
"telephone_number": "215-850-0590",
"fax_number": "215-689-3496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE ALERT AMBULANCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-23",
"last_updated": "2015-10-23",
"status": "A",
"authorized_official_last_name": "PERDIGAO",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-850-0590",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "PA",
"license": "11016",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "11016",
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "PA",
"license": "A-2012-2304624",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026036150001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.