Graham Star Enterprises

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRAHAM STAR ENTERPRISES

Doing business as

Qualicare Augusta

Practice address

2416 Sunflower Dr
Evans, GA 30809-6452

Phone

(706) 930-8008

NPI assigned

Nov 6, 2023

Last updated

Nov 6, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

GRAHAM STAR ENTERPRISESAs reported in NPPES

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

Authorized official

Name

Cheryl Graham

Title

Administrator

Phone

(762) 930-8008

Specialties & licenses 1

Addresses

Other names 1

• Qualicare Augusta Doing business as

Part of

Graham Star Enterprises

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1942073457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 SUNFLOWER DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096452",
            "telephone_number": "706-930-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 SUNFLOWER DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096452",
            "telephone_number": "706-930-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM STAR ENTERPRISES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAHAM STAR ENTERPRISES",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "762-930-8008"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Qualicare Augusta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Golden Circle Comprehensive Services LLC
• Carlos Golston, CCC, SLP
• Alice Janie Goodman, PHARMD
• Henry North Goodwin Jr., MD
• Grace Pediatrics, PC
• Deundra Loraine Graham, FNP
• Vanessa Wyche Graham, PHD, MSN, RN, LPC
• Nina Grandin, O.T.
• Shante Grant
• Natisha Gray

• In Home Supportive Care Agency in Evans, GA
• Providers in Evans, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.