Quintina Gilmore

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

PHCP010719 Issued in GA

Practice address

2289 Joplin St
Jonesboro, GA 30236-6775

Phone

(706) 466-2302

NPI assigned

Aug 14, 2020

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

Electronic endpoints 1

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.

• Care Shines LLC

  • Home Health Aide
  • Conyers, GA
  • NPI 1467226563

  Single Specialty

  NPD

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1316558141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 S MAIN ST NE STE 130B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300124591",
            "telephone_number": "770-679-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2289 JOPLIN ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302366775",
            "telephone_number": "706-466-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "QUINTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "PHCP010719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "quintinagilmore595@gmail.com",
            "affiliation": "N",
            "address_1": "2289 Joplin St",
            "city": "Jonesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302366775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Georgia NP House Calls, LLC
• Georgia Peach Health Care
• Ericka Camille Gibson, MD
• Kelly Gilbert, PHARMD
• Juanita Gilford, M.S.W.
• Moshe Marvin E Gittelson, LCSW
• Debra Wright Glasper, LPC
• Morgan Glass, MS, RDN
• Deborah Jean Glenna, LPC, CPCS, MAC
• Megan Glorioso, DPT

• Home Health Aide in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.