Allcare Medical of Georgia

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

308330212 Issued in GA

Legal business name

ALLCARE MEDICAL OF GEORGIA

Practice address

220C Ben Burton Cir
Bogart, GA 30622-6813

Phone

(706) 549-2088

Fax

(877) 393-3347

NPI assigned

Sep 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Ondrej Sliva

Title

Executive Director

Phone

(864) 263-4300

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1811204167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 MILESTONE WAY",
            "address_2": "SUITE 210",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155093",
            "telephone_number": "864-263-4300",
            "fax_number": "877-393-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220C BEN BURTON CIR",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306226813",
            "telephone_number": "706-549-2088",
            "fax_number": "877-393-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE MEDICAL OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "SLIVA",
        "authorized_official_first_name": "ONDREJ",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-263-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "308330212",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "308330212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.