Organization Active NPI

Quantum Greenes Innovations LLC

  • Home Health Agency
  • Fayetteville, GA
National Provider Identifier
1275355042
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
QUANTUM GREENES INNOVATIONS LLC
Practice address
394 Callaway Rd
Fayetteville, GA 30215-2293
Phone
(404) 200-2916
NPI assigned
Oct 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Sabrina J Greene
Title
Ceo
Phone
(404) 200-2916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

394 Callaway Rd
Fayetteville, GA 30215-2293

Mailing address

105 Banks Sta # 1079
Fayetteville, GA 30214-7503

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1275355042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BANKS STA # 1079",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 CALLAWAY RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152293",
            "telephone_number": "404-200-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM GREENES INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-200-2916"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.