Active NPI
Quincy Hurst
- Personal Care Attendant
- Hot Springs, AR
National Provider Identifier
1083226443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 715 W Grand Ave
Hot Springs, AR 71913-3530 - Phone
- (501) 623-7767
- NPI assigned
- Aug 18, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X | |||
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
715 W Grand Ave
Hot Springs, AR 71913-3530
Mailing address
620 Ouachita Ave
Hot Springs, AR 71901-3920
Phone (501) 321-1743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141025732 | Medicaid | AR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://generations.idb-sys.com/views/loginnew.aspx | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Senior Care | Current | Accepting new patients |
Locations
620 Ouachita Ave
Hot Springs, AR 71901
715 W Grand Ave
Hot Springs, AR 71913
Phone (501) 321-1743
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Hot Springs, AR
- NPI 1174781645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1083226443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 OUACHITA AVE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719013920",
"telephone_number": "501-321-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 W GRAND AVE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719133530",
"telephone_number": "501-623-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURST",
"first_name": "QUINCY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-18",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141025732",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://generations.idb-sys.com/views/loginnew.aspx",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Local use",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "715 W Grand Ave",
"city": "Hot Springs",
"state": "AR",
"country_code": "US",
"postal_code": "719133530",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.