Long Life Ambulance, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LONG LIFE AMBULANCE, LLC

Practice address

10065 Sandmeyer Lane
103
Philadelphia, PA 19116

Phone

(215) 660-4882

NPI assigned

Apr 15, 2011

Organization subpart

No

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

Authorized official

Name

Rustam Usmanov

Title

C.E.O

Phone

(267) 574-4208

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1992095590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10065 SANDMEYER LANE",
            "address_2": "103",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19116",
            "telephone_number": "215-660-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10065 SANDMEYER LANE",
            "address_2": "103",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19116",
            "telephone_number": "215-660-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG LIFE AMBULANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "USMANOV",
        "authorized_official_first_name": "RUSTAM",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "267-574-4208"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Londono, MD
• Laura Anne Lonergan, PA-C
• Dawn M Loney, LPN
• Shonda L Loney
• Wanda Loney
• Long Life Home Health LLC
• Long Term Care at Home Association
• Alicia A Long, N/A
• Christopher Joseph Long, MD
• Cody Michael Long, MD

• Land Ambulance in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.