Antwonia Gibbons
Individual provider Active NPI Home Health Aide · Louisville, GA
NPI 1730852013 · NPPES record last updated Aug 1, 2021
Key facts
- NPI
- 1730852013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 408 Mill St
Louisville, GA 30434-1718 - Phone
- (404) 809-5708
- NPI assigned
- Jul 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | GA | Yes |
Addresses
Primary practice location
408 Mill St
Louisville, GA 30434-1718
Mailing address
PO Box 742
Louisville, GA 30434-0742
Phone (404) 809-5708
Other providers in Louisville, GA
- Community Service Board of Middle Georgia
- Community Service Board of Middle Georgia
- Leigh Wren Davis
- Andrea Byrd Doak
- Samuel George Franklin
- Roberta Gibbons
- Gina R Durant
- Gloria E Machalk
- Gloria E Machalk
- Tonya M. Gunby
All providers in Louisville, GA · Home Health Aide in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.