Envision Care LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

ENVISION CARE LLC

Practice address

4267 Chamblee Tucker Rd
Doraville, GA 30340-4501

Phone

(678) 670-6578

NPI assigned

Oct 19, 2015

Last updated

Oct 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Greelensky Charles

Title

Owner

Phone

(678) 670-6578

Specialties & licenses 3

Addresses

Tax ID family

Envision Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Envision Care LLC

  • Land Ambulance
  • Tucker, GA
  • NPI 1669842910
  NPD tax ID

Locations

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1508237421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4267 CHAMBLEE TUCKER RD",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303404501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4267 CHAMBLEE TUCKER RD",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303404501",
            "telephone_number": "678-670-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "GREELENSKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-670-6578",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Doraville, GA
• Providers in Doraville, GA by specialty
• Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.