Provider Demographics
NPI:1790037810
Name:CAREONE AMBULANCE, LLC
Entity Type:Organization
Organization Name:CAREONE AMBULANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOMMER
Authorized Official - Middle Name:
Authorized Official - Last Name:RABADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-203-3397
Mailing Address - Street 1:5201 BELLA VISTA RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026
Mailing Address - Country:US
Mailing Address - Phone:610-789-1212
Mailing Address - Fax:
Practice Address - Street 1:5201 BELLA VISTA RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026
Practice Address - Country:US
Practice Address - Phone:610-789-1212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-12
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA120443416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport