Healthcare Provider Details

I. General information

NPI: 1730363656
Provider Name (Legal Business Name): TRUST N CARE SERVICES OF AMERICA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2007
Last Update Date: 01/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1899 CENTRAL AVE
AUGUSTA GA
30904-5755
US

IV. Provider business mailing address

1899 CENTRAL AVE
AUGUSTA GA
30904-5755
US

V. Phone/Fax

Practice location:
  • Phone: 706-729-5371
  • Fax: 706-729-5373
Mailing address:
  • Phone: 706-729-5371
  • Fax: 706-729-5373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number121R0033
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number121-R-0033
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number121-R-0033
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number121-R-0033
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number121R0033
License Number StateGA
# 6
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number121R0033
License Number StateGA

VIII. Authorized Official

Name: PAMELA D GRIFFIN
Title or Position: OWNER RN ADMINISTRATOR
Credential: REGISTERED NURSE
Phone: 706-729-5371