Active NPI
Sure Care
- Adult Care Home Facility
- Fayetteville, GA
National Provider Identifier
1164824322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- SURE CARE
- Practice address
- 110 Sylvan Loop
Fayetteville, GA 30214-7439 - Phone
- (678) 755-2832
- NPI assigned
- Sep 18, 2014
- Organization subpart
- Yes
- Parent organization
- SURE CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jannette M McLaren
- Title
- RN
- Phone
- (678) 755-2832
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | GA | Primary |
Addresses
Primary practice location
110 Sylvan Loop
Fayetteville, GA 30214-7439
Mailing address
110 Sylvan Loop
Fayetteville, GA 30214-7439
Phone (678) 755-2832
National Provider Directory
National Provider Directory- Part of
- Sure Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410998400000",
"number": "1164824322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 SYLVAN LOOP",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147439",
"telephone_number": "678-755-2832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SYLVAN LOOP",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147439",
"telephone_number": "678-755-2832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURE CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SURE CARE",
"enumeration_date": "2014-09-18",
"last_updated": "2014-09-18",
"status": "A",
"authorized_official_last_name": "MCLAREN",
"authorized_official_first_name": "JANNETTE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "RN",
"authorized_official_telephone_number": "678-755-2832"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.