Pro Care EMS, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

067-13 Issued in GA

Legal business name

PRO CARE EMS, LLC

Practice address

5155 Sugarloaf Pkwy Ste G-K
Lawrenceville, GA 30043-7858

Phone

(678) 240-2860

Fax

(678) 248-9178

NPI assigned

Jul 21, 2005

Last updated

Dec 16, 2019By 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

Tony Thrash

Title

Ceo/Owner/Emt

Phone

(678) 240-2860

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1760481618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490370",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300490007",
            "telephone_number": "678-240-2860",
            "fax_number": "678-248-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 SUGARLOAF PKWY STE G-K",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437858",
            "telephone_number": "678-240-2860",
            "fax_number": "678-248-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO CARE EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "THRASH",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CEO/OWNER/EMT",
        "authorized_official_telephone_number": "678-240-2860"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "067-13",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "GA",
            "license": "067-13",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICARE",
            "identifier": "N335019",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231897433A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICAID",
            "identifier": "N471210",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.