Heart of a Queen Homecare Services, LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

HEART OF A QUEEN HOMECARE SERVICES, LLC

Doing business as

Heart of a Queen Homecare

Practice address

503 S Main St Ste 6025
Mauldin, SC 29662-2204

Phone

(864) 962-3635

Fax

(864) 900-0991

NPI assigned

Jun 29, 2023

Last updated

Jun 29, 2023By 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

Edwina Guillebeaux-Quarles, RNNPI 1134823263

Title

Manager/Administrator

Phone

(864) 962-3635

Specialties & licenses 1

Addresses

Other names 1

• Heart of a Queen Homecare Doing business as

Locations

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.

• Edwina Yvonnw Guillebeaux-Quarles, RN

  • Registered Nurse
  • Mauldin, SC
  • NPI 1134823263
  NPD Authorized official

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1922785203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S MAIN ST STE 6025",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622204",
            "telephone_number": "864-962-3635",
            "fax_number": "864-900-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S MAIN ST STE 6025",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622204",
            "telephone_number": "864-962-3635",
            "fax_number": "864-900-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF A QUEEN HOMECARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "GUILLEBEAUX-QUARLES",
        "authorized_official_first_name": "EDWINA",
        "authorized_official_title_or_position": "MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "864-962-3635",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of a Queen Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Registered Nurse in Mauldin, SC
• Providers in Mauldin, SC by specialty
• Home Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.