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NPI Code Detail

MEDICARE: STONE ANCHOR CARE SERVICES LLC

MEDICARE: STONE ANCHOR CARE SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1154265049
Entity Type Code : Organization
Provider Name (Legal Business Name) : STONE ANCHOR CARE SERVICES LLC
Provider Business Mailing Address
First Line : 2345 PEACHWOOD CIR NE APT 6307
Second Line :
City : ATLANTA
State : GA
Zip : 30345-8044
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2345 PEACHWOOD CIR NE APT 6307
Second Line :
City : ATLANTA
State : GA
Zip : 30345-8044
Country : US
Telephone Number : 404-919-9744
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JESSICA BOONE
Credential :
Telephone Number : 404-919-9744
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “STONE ANCHOR CARE SERVICES LLC ” Practice Location

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