Organization Active NPI

G&G Home Care

  • Home Health Agency
  • Davenport, FL
National Provider Identifier
1639668973
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
G&G HOME CARE
Practice address
203 Windsor Estates Dr
Davenport, FL 33837-9604
Phone
(352) 504-8964
NPI assigned
May 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Takita Hayes Green
Title
Owner
Phone
(352) 504-8964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

203 Windsor Estates Dr
Davenport, FL 33837-9604

Mailing address

203 Windsor Estates Dr
Davenport, FL 33837-9604
Phone (352) 504-8964

Other identifiers 1

IdentifierTypeStateIssuer
824911555MedicaidFL

Other names 1

  • G&G HOME CARE Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1639668973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WINDSOR ESTATES DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338379604",
            "telephone_number": "352-504-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WINDSOR ESTATES DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338379604",
            "telephone_number": "352-504-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G&G HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TAKITA",
        "authorized_official_middle_name": "HAYES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-504-8964"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "824911555",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G&G HOME CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.