Assured Care EMS LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05608 Issued in GA

Legal business name

ASSURED CARE EMS LLC

Practice address

124 New Hope Rd
Fayetteville, GA 30214-1360

Phone

(404) 857-5451

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Andre P Grant

Title

Coo

Phone

(404) 857-5451

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1245602846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 NEW HOPE RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141360",
            "telephone_number": "404-857-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NEW HOPE RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141360",
            "telephone_number": "404-857-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED CARE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "404-857-5451"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "05608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.