Quinton Brooks

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

0277442 Issued in OH

Practice address

7705 Powers Ridge Dr
Blacklick, OH 43004-9085

Phone

(614) 352-7925

NPI assigned

Jan 29, 2019

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2019.

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1043774540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7705 POWERS RIDGE DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430049085",
            "telephone_number": "614-352-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7705 POWERS RIDGE DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430049085",
            "telephone_number": "614-352-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "QUINTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "0277442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02774442",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Victoria Breyley
• Gianna Brickler
• Bridgeway Homecare LLC
• Darla Britford
• Caitlyn Brooks
• Brothers Home Health LLC
• Kemayah Raylynn Brown Echols
• Amanda Brown
• Brian Brown
• Earlena Brown

• All providers in Blacklick, OH
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.