Organization Active NPI

Secure Care Augusta LLC

  • Registered Nurse
  • Augusta, GA
National Provider Identifier
1982940151
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
SECURE CARE AUGUSTA LLC
Practice address
1520 Monte Sano Ave
Augusta, GA 30904-7808
Phone
(706) 993-9271
Fax
(706) 863-5638
NPI assigned
Dec 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Tara Legrand Lundy
Title
Billing Management
Phone
(706) 723-9926

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X Primary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X

Addresses

Primary practice location

1520 Monte Sano Ave
Augusta, GA 30904-7808

Mailing address

1520 Monte Sano Ave
Augusta, GA 30904-7808
Phone (706) 993-9271

National Provider Directory

National Provider Directory
Tax ID family
Secure Care Augusta2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1982940151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 MONTE SANO AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309047808",
            "telephone_number": "706-993-9271",
            "fax_number": "706-863-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 MONTE SANO AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309047808",
            "telephone_number": "706-993-9271",
            "fax_number": "706-863-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE CARE AUGUSTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "LUNDY",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "LEGRAND",
        "authorized_official_title_or_position": "BILLING MANAGEMENT",
        "authorized_official_telephone_number": "706-723-9926"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.