MEDICARE: ANGEL'S CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	324692	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669532628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL'S CARE INC

Provider Business Mailing Address
First Line	:	PO BOX 52402
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-7402
Country	:	US
Telephone Number	:	215-288-5200
Fax Number	:	215-473-1122

Provider Business Practice Location Address
First Line	:	3901 CONSHOHOCKEN AVE
Second Line	:	SUITE 2
City	:	PHILADELPHIA
State	:	PA
Zip	:	19131-5430
Country	:	US
Telephone Number	:	215-288-5200
Fax Number	:	215-473-1122

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. EUGENE GOLDSHTEYN
Credential	:
Telephone Number	:	215-288-5200

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	08/22/2020

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Directions to “ANGEL'S CARE INC ” Practice Location

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