Provider Demographics
NPI:1013274323
Name:AMERACARE, LLC
Entity Type:Organization
Organization Name:AMERACARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABLUDOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-417-3434
Mailing Address - Street 1:1300 INDUSTRIAL BLVD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-4029
Mailing Address - Country:US
Mailing Address - Phone:267-417-3434
Mailing Address - Fax:215-396-2870
Practice Address - Street 1:1300 INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 212
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-4029
Practice Address - Country:US
Practice Address - Phone:267-417-3434
Practice Address - Fax:215-396-2870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA09063341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA09063OtherPA DEPARTMENT OF HEALTH EMS