Queenair TLC Home Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

253Z00000X

Legal business name

QUEENAIR TLC HOME SERVICES

Practice address

2072 Ben Hill Rd
East Point, GA 30344-4124

Phone

(470) 302-3983

NPI assigned

Mar 15, 2017

Organization subpart

No

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

Authorized official

Name

Airquetta Shuvonne HoldenNPI 1477094902

Title

Owner

Phone

(678) 789-1116

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Airquetta Holden

  • Home Health Aide
  • East Point, GA
  • NPI 1477094902
  NPD (past) Authorized official

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1376084954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 BEN HILL RD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444124",
            "telephone_number": "470-302-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 BEN HILL RD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444124",
            "telephone_number": "470-302-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENAIR TLC HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "AIRQUETTA",
        "authorized_official_middle_name": "SHUVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-789-1116"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": "253Z00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in East Point, GA
• Providers in East Point, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.