Active NPI
Samaritian Care, LLC
- Case Management Agency
- Augusta, GA
National Provider Identifier
1568749141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- LCB20100001349
- 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, 2016
- 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
- Mr. Jeffery K Tobin
- Title
- Ceo, Owner
- Phone
- (803) 300-6786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.