Active NPI
Safe at Home Senior Care
- Durable Medical Equipment & Medical Supplies
- Martinez, GA
National Provider Identifier
1104117993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SAFE AT HOME SENIOR CARE
- Practice address
- 4210 Columbia Rd
Martinez, GA 30907-0401 - Phone
- (706) 495-6958
- NPI assigned
- Apr 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Ryan
- Title
- Chief Operating Officer
- Phone
- (706) 495-6958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4210 Columbia Rd
Martinez, GA 30907-0401
Mailing address
3943 High Chaparral Dr
Martinez, GA 30907-3303
National Provider Directory
National Provider DirectoryLocations
4210 Columbia Rd
Martinez, GA 30907
Phone (706) 364-6576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303862400000",
"number": "1104117993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3943 HIGH CHAPARRAL DR",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309073303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 COLUMBIA RD",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309070401",
"telephone_number": "706-495-6958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE AT HOME SENIOR CARE",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-27",
"last_updated": "2011-04-27",
"status": "A",
"authorized_official_last_name": "RYAN",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "706-495-6958"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.