Provider Demographics
NPI:1639462823
Name:L&P CARE AMBULANCE INC
Entity Type:Organization
Organization Name:L&P CARE AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHINO
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:ONWUKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-909-2422
Mailing Address - Street 1:PO BOX 649
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-0649
Mailing Address - Country:US
Mailing Address - Phone:215-710-0655
Mailing Address - Fax:215-710-0651
Practice Address - Street 1:20 N FRONT ST
Practice Address - Street 2:
Practice Address - City:BALLY
Practice Address - State:PA
Practice Address - Zip Code:19503
Practice Address - Country:US
Practice Address - Phone:215-710-0655
Practice Address - Fax:215-710-0651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-19
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA46071341600000X
PA180433416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1026483030002Medicaid