Maria J Quinones, LVN/LPN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

293322 Issued in CA

Practice address

450 S Susan Creek Dr
Stone Mountain, GA 30083-4426

Phone

(805) 212-0203

NPI assigned

Apr 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Peach Hill Care LLC

  • In Home Supportive Care Agency
  • Stone Mountain, GA
  • NPI 1073189601
  NPD Authorized official

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1114669652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S SUSAN CREEK DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834426",
            "telephone_number": "805-212-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S SUSAN CREEK DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834426",
            "telephone_number": "805-212-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "MARIA",
        "middle_name": "J",
        "credential": "LVN/LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "293322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pure Angels Home Care Services
• Qosc Home Care
• Shaveanda L. Queen, MD
• Quick Care EMS LLC
• Ambar Quinones Rodriguez
• Rachels' Personal Care Home Inc
• Takatha Rahman
• Sana Rajput
• Erika Nicole Ramsay
• Marlene Randall

• Licensed Vocational Nurse in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Licensed Vocational Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.