Active NPI
Spicer Management Group, LLC
Doing business as Home Instead Senior Care #788
- In Home Supportive Care Agency
- Augusta, GA
National Provider Identifier
1396518320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SPICER MANAGEMENT GROUP, LLC
- Doing business as
- Home Instead Senior Care #788
- Practice address
- 4210 Columbia Rd Ste 13a
Augusta, GA 30907-0445 - Phone
- (706) 922-3601
- NPI assigned
- Nov 1, 2023
- Last updated
- Nov 1, 2023
- 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
- Phuong Quynh Spicer
- Title
- Owner
- Phone
- (706) 910-3467
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
4210 Columbia Rd Ste 13a
Augusta, GA 30907-0445
Mailing address
4340 Miller Dr
Evans, GA 30809-4255
Phone (706) 910-3467
Other names 1
- Home Instead Senior Care #788
National Provider Directory
National Provider DirectoryLocations
4210 Columbia Rd
Ste 13A
Augusta, GA 30907
Phone (706) 922-3601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698796800000",
"number": "1396518320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4340 MILLER DR",
"city": "EVANS",
"state": "GA",
"postal_code": "308094255",
"telephone_number": "706-910-3467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 COLUMBIA RD STE 13A",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309070445",
"telephone_number": "706-922-3601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPICER MANAGEMENT GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-01",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A",
"authorized_official_last_name": "SPICER",
"authorized_official_first_name": "PHUONG QUYNH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-910-3467"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Instead Senior Care #788",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.