Organization Active NPI

Sure Care EMS

  • Ambulance
  • Stone Mountain, GA
National Provider Identifier
1619521366
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Oct 2, 2019

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2274320Sure Care EMS LLC2136 W Park Court Suite B, Stone Mountain, GA 30087Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.