Active NPI
Sure Care EMS
- Ambulance
- Stone Mountain, GA
National Provider Identifier
1619521366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- SURE CARE EMS
- Practice address
- 2136 W Park CT BLDG 2
Stone Mountain, GA 30087-3528 - Phone
- (404) 996-4182
- NPI assigned
- Jul 31, 2019
- 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. Andre Grant
- Title
- Owner/Opearations Manager
- Phone
- (404) 389-3021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
2136 W Park CT BLDG 2
Stone Mountain, GA 30087-3528
Mailing address
2136 W Park CT BLDG 2
Stone Mountain, GA 30087-3528
Phone (404) 996-4182
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2274320 | Sure Care EMS LLC | Certificate of waiver | Jan 2, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569974400000",
"number": "1619521366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2136 W PARK CT BLDG 2",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300873528",
"telephone_number": "404-996-4182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2136 W PARK CT BLDG 2",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300873528",
"telephone_number": "404-996-4182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURE CARE EMS",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-31",
"last_updated": "2019-10-02",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "ANDRE",
"authorized_official_title_or_position": "OWNER/OPEARATIONS MANAGER",
"authorized_official_telephone_number": "404-389-3021",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.