OrganizationActive
Life Rescue Ambulance Inc
NPI 1306104088 · Ambulance · Philadelphia, PA
Life Rescue Ambulance Inc is a Ambulance organization in Philadelphia, PA (NPI 1306104088).
Provider details
- NPI number
- 1306104088
- Entity type
- Organization
- Primary specialty
- AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Ivan Gudimov, Owner /President(215) 668-2999
Specialties & taxonomies
Transportation Services
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2002 Grant Ave
Philadelphia, PA 19115-4355
Phone: (215) 668-2999
Street-level locationGet directions
Mailing address
2002 Grant Ave
Philadelphia, PA 19115
Registry dates
- Enumerated
- 2012-05-01
- Last updated
- 2012-05-01
Frequently asked questions
- What is Life Rescue Ambulance Inc's NPI number?
- Life Rescue Ambulance Inc's National Provider Identifier (NPI) is 1306104088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Rescue Ambulance Inc?
- Life Rescue Ambulance Inc is classified in the NPPES registry as Ambulance (Transportation Services).
- Where is Life Rescue Ambulance Inc located?
- Life Rescue Ambulance Inc's practice location on file with NPPES is 2002 Grant Ave, Philadelphia, PA 19115-4355.
- What is Life Rescue Ambulance Inc's phone number?
- The practice phone number listed in the NPPES registry for Life Rescue Ambulance Inc is (215) 668-2999.
- Who is the authorized official for Life Rescue Ambulance Inc?
- The authorized official listed on Life Rescue Ambulance Inc's NPPES record is Ivan Gudimov, Owner /President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Rescue Ambulance Inc's NPI active?
- Yes — Life Rescue Ambulance Inc's NPI (1306104088) is active in the NPPES registry as of the last update on 2012-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.