EMSSTAR LLC (NPI# 1023270428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023270428 |
Entity Type | Organization |
Organization Name | EMSSTAR LLC |
Other Organization Name | EM-STAR AMBULANCE SERVICE |
Practice Address |
3800 Jasper St Unit 3 Philadelphia PA 19124-5631 |
Mailing Address |
300 Domino Ln Philadelphia PA 19128-4352 |
Practice Telephone | 2157648803 |
Practice Fax Number | 2158275608 |
Mailing Telephone | 2157648803 |
Mailing Fax Number | 2158275608 |
Enumeration Date | 2008-06-26 |
Last Update Date | 2008-06-26 |
Authorized Official Name | MR. DEAN A BOLLENDORF (PRESIDENT) |
Authorized Official Telephone | 2157648803 |
Is Organization Subpart | Y |
Parent Organization Name | EMSSTAR LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3416L0300X |
Ambulance Specialization: Land Transport |
EMST22015 | NJ | Transportation Services |
N | 343900000X | Non-emergency Medical Transport (VAN) | EMST22015 | NJ | Transportation Services |
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
04228 | PA | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 0077488 | 05 | |
PA | 1011955800001 | 05 |
Other Name | Type Code |
---|---|
Em-Star Ambulance Service | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144481870 | Emsstar LLC | Ambulance | 202 Turner Industrial Way, Aston, PA 19014-3015 | 2008-06-25 |
1598927915 | Emsstar LLC | Non-emergency Medical Transport (VAN) | 1601 Boulevard Ave, Pennsauken, NJ 08110-4011 | 2008-06-26 |
1407018823 | Emsstar LLC | Ambulance | 620 N Graham St, Allentown, PA 18109-2049 | 2008-06-26 |
Street Address |
3800 JASPER ST UNIT 3 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19124-5631 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861654287 | Safecare Ambulance Services Inc | Ambulance | 3800 Jasper St, Unit 3, Philadelphia, PA 19124-5631 | 2008-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831749308 | William Mark Hanna Sr. | Pharmacist | 4600 Rooselvelt Blvd Bldg G, Philadelphia, PA 19124 | 2019-09-17 |
1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
1548731391 | Sierra Pinkney | Registered Nurse | 1615 Granite St, Philadelphia, PA 19124 | 2018-12-05 |
1922507987 | Xavier Sergio Henriquez | Counselor | 4510 Frankford Avenue 2nd Floor, Philadelphia, PA 19124 | 2018-02-06 |
1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
1952843732 | Patrick Grugan | Social Worker | Roosevelt Boulevard & Adams Avenue, Philadelphia, PA 19124 | 2016-11-10 |
1811340482 | Katarzyna Liwski | Psychiatry & Neurology | 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 | 2016-07-19 |
1851769327 | Aleka Kostouros | Social Worker | Roosevelt Blvd & Adams Ave, Northeast Community Center for Behavioral Health, Philadelphia, PA 19124 | 2015-09-14 |
1407230378 | Sara Bachani | Psychiatry & Neurology | 4641 Roosevelt Blvd, Friends Hospital, Room 231, Philadelphia, PA 19124 | 2015-07-10 |
1215327051 | Alyssa Renee Kirk | Counselor | 4500-10 Frankford Ave, 2nd Floor, Philadelphia, PA 19124 | 2015-02-02 |
Find all providers in zip 19124 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1790110658 | Guardian Medical Transport Inc | Ambulance | 5713 N American St, Philadelphia, PA 19120-2365 | 2013-09-11 |
1457799413 | Life Alliance, Incorporated | Ambulance | 1946 E Westmoreland St, Philadelphia, PA 19134-2522 | 2013-06-11 |
1548603988 | Everest Ambulance LLC | Ambulance | 8420 Bustleton Ave, Philadelphia, PA 19152-1902 | 2013-04-16 |
1699014373 | Millennium Medical Transportation, Inc | Ambulance | 9986 Gantry Rd, Rear Bld #b, Philadelphia, PA 19115-1002 | 2013-01-31 |
1669720181 | New Trinity Ambulance LLC | Ambulance | 4545 N Front St, Philadelphia, PA 19140-1606 | 2012-08-15 |
1467719328 | First Care Ambulance Inc | Ambulance | 10065 Sandmeyer Ln, Warehouse 401, Philadelphia, PA 19116-3515 | 2012-04-17 |
1730452665 | Lifenet Ambulance LLC | Ambulance | 10067 Sandmeyer Lane, W 413, Philadelphia, PA 19116-3533 | 2012-02-23 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19124 |
Please comment or provide details below to improve the information on EMSSTAR LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.