G2M4 LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

G2M4 LLC

Doing business as

Home Instead

Practice address

549 NW Lake Whitney PL Ste 106
Port St Lucie, FL 34986-1606

Phone

(772) 924-3210

Fax

(772) 924-3210

NPI assigned

Oct 13, 2021

Last updated

Mar 6, 2024By 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

Mr. Mark Anthony C Santiago

Title

Owner

Phone

(760) 593-8262

Specialties & licenses 2

Addresses

Other names 1

• Home Instead Doing business as

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1215690557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 NW LAKE WHITNEY PL STE 106",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861606",
            "telephone_number": "772-924-3210",
            "fax_number": "772-924-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 NW LAKE WHITNEY PL STE 106",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861606",
            "telephone_number": "772-924-3210",
            "fax_number": "772-924-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G2M4 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-03-06",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "MARK ANTHONY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-593-8262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.