Organization Active NPI

Welcome Ambulance Inc.

  • Land Ambulance
  • Feasterville, PA
National Provider Identifier
1902869092
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03091 Issued in PA
Legal business name
WELCOME AMBULANCE INC.
Practice address
1631 Loretta Ave
Unit 3
Feasterville, PA 19053-7310
Phone
(215) 750-0740
Fax
(215) 750-0564
NPI assigned
Apr 10, 2006
Last updated
Dec 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Mrs. Olga Latysheva, PH.D.
Title
Vice-President
Phone
(215) 820-0584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 03091 PA Primary

Addresses

Primary practice location

1631 Loretta Ave
Unit 3
Feasterville, PA 19053-7310

Mailing address

664 Valley Stream Cir
Langhorne, PA 19053-1953
Phone (215) 750-0740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091222000506 PA Part B Supplier - Ambulance Service Supplier 5193865111 Practice locations: Feasterville Trevose, PA

National Provider Directory

National Provider Directory

Locations

1631 Loretta Ave
Unit 3
Fstrvl Trvose, PA 19053
Phone (215) 750-0740

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1902869092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 VALLEY STREAM CIR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190531953",
            "telephone_number": "215-750-0740",
            "fax_number": "215-750-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 LORETTA AVE",
            "address_2": "UNIT 3",
            "city": "FEASTERVILLE",
            "state": "PA",
            "postal_code": "190537310",
            "telephone_number": "215-750-0740",
            "fax_number": "215-750-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELCOME AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "LATYSHEVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "215-820-0584",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.