# PRO CARE EMS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760481618
- **Authorized official:** TONY THRASH (CEO/OWNER/EMT)
- **Authorized official phone:** (678) 240-2860

## Contact information

- **Practice address:** 5155 SUGARLOAF PKWY STE G-K, LAWRENCEVILLE, GA 30043-7858
- **Practice address phone:** (678) 240-2860
- **Practice address fax:** (678) 248-9178
- **Mailing address:** PO BOX 490370, LAWRENCEVILLE, GA 30049-0007
- **Mailing address phone:** (678) 240-2860
- **Mailing address fax:** (678) 248-9178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146L00000X | Paramedic | 067-13 | GA | — |
| 341600000X | Ambulance | 067-13 | GA | Yes |
| 3416L0300X | Land Ambulance | — | — | — |

## Other

- **Enumeration date:** 07/21/2005
- **Last updated:** 12/16/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 231897433A | — | GA |
| 01 | — | N335019 | WELLCARE MEDICARE | — |
| 01 | — | N471210 | WELLCARE MEDICAID | — |