Provider Demographics
NPI:1356772826
Name:PHILADELPHIA CARE, INC
Entity type:Organization
Organization Name:PHILADELPHIA CARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-423-1405
Mailing Address - Street 1:1706 N 2ND ST
Mailing Address - Street 2:#R-7
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19122-3110
Mailing Address - Country:US
Mailing Address - Phone:215-423-1405
Mailing Address - Fax:215-427-1837
Practice Address - Street 1:1706 N 2ND ST
Practice Address - Street 2:#R-7
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19122-3110
Practice Address - Country:US
Practice Address - Phone:215-423-1405
Practice Address - Fax:215-427-1837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)