Organization Active NPI

Samaritian Care, LLC

  • Case Management Agency
  • Augusta, GA
National Provider Identifier
1568749141
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
LCB20100001349 Issued in GA
Legal business name
SAMARITIAN CARE, LLC
Practice address
1227 Augusta West Pkwy
Suite 2
Augusta, GA 30909-6670
Phone
(706) 364-5158
Fax
(706) 364-5193
NPI assigned
Nov 9, 2011
Last updated
Sep 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Mr. Jeffery K Tobin
Title
Ceo, Owner
Phone
(803) 300-6786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X LCB20100001349 GA Primary

Addresses

Primary practice location

1227 Augusta West Pkwy
Suite 2
Augusta, GA 30909-6670

Mailing address

PO Box 16183
Augusta, GA 30919-2183
Phone (706) 364-5158

National Provider Directory

National Provider Directory

Locations

1227 Augusta West Pkwy
Ste 2
Augusta, GA 30909
Phone (706) 364-5158

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1568749141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16183",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309192183",
            "telephone_number": "706-364-5158",
            "fax_number": "706-364-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 AUGUSTA WEST PKWY",
            "address_2": "SUITE 2",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096670",
            "telephone_number": "706-364-5158",
            "fax_number": "706-364-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITIAN CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "803-300-6786",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "LCB20100001349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 15, 2016; 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.