Marquita Shines

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MARQUITA SHINES

Doing business as

all season personal care home

Practice address

55 Hickory Cir
Carrollton, GA 30116-8692

Phone

(678) 601-3504

NPI assigned

Mar 15, 2013

Last updated

Mar 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marquita Shunta Shines

Title

Owner

Phone

(352) 653-0408

Specialties & licenses 3

Addresses

Other names 1

• all season personal care home Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacey Harris

  • Home Health Agency
  • Carrollton, GA
  • NPI 1679897854
  NPD (past)

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1871834846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HICKORY CIR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301168692",
            "telephone_number": "678-601-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HICKORY CIR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301168692",
            "telephone_number": "678-601-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUITA SHINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "SHINES",
        "authorized_official_first_name": "MARQUITA",
        "authorized_official_middle_name": "SHUNTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-653-0408",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "all season personal care home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Cahill Manley, M.D.
• Amanda J Mann
• Map, MD
• Deborah Ellen Maroun, LMT, CLT
• Ricardo J Marquez Hernandez, DC
• Douglas Martin, PTA
• Jim Martin, CPT,FNP-C,MSN,AEMT
• Traci S Martin
• Mary M Feldman MD LLC (Carrollton Dermatology)
• Theresa Marie Masek, LPC

• Adult Care Home Facility in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.