Organization 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
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.