Gifted Minds Residential Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GIFTED MINDS RESIDENTIAL CARE LLC

Practice address

4349 Indian River Rd
Chesapeake, VA 23325-3115

Phone

(757) 761-8629

NPI assigned

Oct 12, 2023

Last updated

Oct 12, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Qeunna Smith, RN

Title

Owner

Phone

(757) 761-8629

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1083495386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4349 INDIAN RIVER RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233253115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4349 INDIAN RIVER RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233253115",
            "telephone_number": "757-761-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED MINDS RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "QEUNNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-761-8629",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willie Gibbs
• Georgia Alexandra Gibson-Pruiksma
• Haley Gibson
• Mary Giencke, LPC
• Gift of Help Home Health Care
• Sandra Gilbert-Lane, LPC
• Angela Gilchrist
• Christine F Gilchrist, LCSW
• Jakeil Trinity Gilchrist, M.A, LMHP-E
• Melissa Gillespie, PMHNP-BC

• In Home Supportive Care Agency in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.