Organization Active NPI

Heart and Vascular Care East, LLC

  • Cardiac Rehabilitation Registered Nurse
  • Cumming, GA
National Provider Identifier
1891502381
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X
Legal business name
HEART AND VASCULAR CARE EAST, LLC
Practice address
101 Greenfield Dr Ste 260
Cumming, GA 30040-3175
Phone
(678) 513-2273
Fax
(678) 513-8869
NPI assigned
Dec 17, 2024
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HEART AND VASCULAR CARE EAST, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Larami Oliver
Title
RCM Director
Phone
(678) 513-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered Nurse 163WC3500X Primary

Addresses

Primary practice location

101 Greenfield Dr Ste 260
Cumming, GA 30040-3175

Mailing address

3970 Deputy Bill Cantrell Mem
Cumming, GA 30040-3069
Phone (678) 513-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250123003365 GA Part B Supplier - Intensive Cardiac Rehabilitation 2163951997 Receives reassigned benefits from 8 practitioners
Practice locations: Cumming, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Heart and Vascular Care

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1891502381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 DEPUTY BILL CANTRELL MEM",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403069",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GREENFIELD DR STE 260",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403175",
            "telephone_number": "678-513-2273",
            "fax_number": "678-513-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND VASCULAR CARE EAST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEART AND VASCULAR CARE EAST, LLC",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "LARAMI",
        "authorized_official_title_or_position": "RCM DIRECTOR",
        "authorized_official_telephone_number": "678-513-2273"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.