Exclusive Estates

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXCLUSIVE ESTATES

Practice address

1931 Kingsbury Dr
Montgomery, AL 36106-3409

Phone

(334) 314-3868

Fax

(334) 398-8332

NPI assigned

Jan 12, 2021

Organization subpart

No

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

Authorized official

Name

Quavanti Floyd, CMA, NA, FIRST AID

Title

Ceo

Phone

(334) 314-3868

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1760071096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 KINGSBURY DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063409",
            "telephone_number": "334-314-3868",
            "fax_number": "334-398-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 KINGSBURY DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063409",
            "telephone_number": "334-314-3868",
            "fax_number": "334-398-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCLUSIVE ESTATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "QUAVANTI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-314-3868",
        "authorized_official_credential": "CMA, NA, FIRST AID"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPEN",
            "identifier": "202100000202",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "3343988332",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1931 Kingsbury Dr",
            "city": "Montgomery",
            "state": "AL",
            "country_code": "US",
            "postal_code": "361063409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.