Kimberly L Warren, OWNER

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

1606 E Broad Ave
Albany, GA 31705-2310

Phone

(229) 403-6977

NPI assigned

Jul 5, 2024

Last updated

Jul 5, 2024By the provider in NPPES

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Promiseland Home Care Agency LLC

  • Homemaker
  • Albany, GA
  • NPI 1972349207
  NPD Authorized official

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1174369409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 IMPALA LN",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317056113",
            "telephone_number": "229-403-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 E BROAD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317052310",
            "telephone_number": "229-403-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "KIMBERLY",
        "middle_name": "L",
        "credential": "OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwenda Gail Ware
• Torey Ware
• Joshua Lee Warfel, AGACNP
• Stephanie Warfel
• Ervin Eugene Warren Jr.
• Lacourtney Washington
• Lashaunda Verneida Washington
• Deshone Watson
• Jessica Cook Watson, D.M.D.
• Joseph Dewayne Watson, MD

• Homemaker in Albany, GA
• Providers in Albany, GA by specialty
• Homemaker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.