Quanisha Aliyah Vera, CEO

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

119 Davis Rd Ste 5C
Martinez, GA 30907-0217

Phone

(706) 910-3580

Fax

(706) 925-5723

NPI assigned

Sep 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Electronic endpoints 6

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 and National Provider Directory roles.

• Enchanted Hearts Home Care Services LLC.

  • Home Health Agency
  • Martinez, GA
  • NPI 1518572973
  NPD Authorized official
• Vera Loving Care LLC

  • Home Health Agency
  • Grovetown, GA
  • NPI 1346002623
  NPD Authorized official

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1194330787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9373",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309169373",
            "telephone_number": "706-910-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 DAVIS RD STE 5C",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070217",
            "telephone_number": "706-910-3580",
            "fax_number": "706-925-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA",
        "first_name": "QUANISHA",
        "middle_name": "ALIYAH",
        "credential": "CEO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "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": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7067993017",
            "affiliation": "N",
            "endpointDescription": "Business Phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3805 Nicoll Dr",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309069242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7069103580",
            "affiliation": "N",
            "endpointDescription": "Mobile Device",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "3805 Nicoll Dr",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309069242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7067993017",
            "affiliation": "N",
            "endpointDescription": "Business Phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3805 Nicoll Dr",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309069242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7069103580",
            "affiliation": "N",
            "endpointDescription": "Mobile Device",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "3805 Nicoll Dr",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309069242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "enchantedheartshomecare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3805 Nicoll Dr",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309069242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "enchantedheartshomecare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "3805 Nicoll Dr",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309069242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• University Health Services, Inc.
• University Hospice, Inc.
• Barbara J Utermark, DMD
• Allison M Vallotton, OTR/L
• Jennifer Vanta, BCBA
• Village Collaborative, LLC
• Janet W Vincent, OTRL
• Amanda Catherine Viola-Brooke, LPC
• Mary Ann Meredith Wade, PHARM.D
• Emberly Von Wadsworth, RBT

• Nurse's Aide in Martinez, GA
• Providers in Martinez, GA by specialty
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.