Vital Care One, LLC.

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

VITAL CARE ONE, LLC.

Practice address

125 Merovan Dr Ste 1
North Augusta, SC 29860-8645

Phone

(803) 426-8052

NPI assigned

Jun 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Glenn Taylor

Title

President

Phone

(803) 295-6190

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1194986596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MEROVAN DR STE 1",
            "address_2": "P.O. BOX 6099",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298608645",
            "telephone_number": "803-426-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MEROVAN DR STE 1",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298608645",
            "telephone_number": "803-426-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE ONE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-295-6190"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007400300A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0273",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyson Nicole Varga, DPT
• John R Velky, M.D.
• Hammond Verdery
• Veterans Transportation
• Arlene Harris Vincent, P.T.
• Vitality Medical Centers of North Augusta, Inc.
• Chad Waddell, PA-C
• Shaena Victoria Waggoner, FNP
• Wal-Mart Stores East , LP
• Wal-Mart Stores East LP

• Ambulance in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.