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1ST GWINNETT HOME CARE LLC NPI 1811740889


NPI Information

NPI: 1811740889
Provider Name: 1ST GWINNETT HOME CARE LLC

Other Name: 1ST GWINNETT HOME CARE LLC

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
3570 E 18TH ST BLDG 10123
ANTIOCH, CA
ZIP 94509
Phone: (678) 913-6977
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1ST GWINNETT HOME CARE LLC is an in home supportive care in Antioch, CA. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. 1ST GWINNETT HOME CARE LLC NPI is 1811740889. The provider is registered as an organization entity type.
The provider Other Name Is 1st Gwinnett Home Care Llc.

The provider's business location address is:

3570 E 18TH ST BLDG 10123
ANTIOCH, CA
ZIP 94509-450
Phone: (678) 913-6977

The provider's authorized official is Samuel Bimbo .
The authorized official title is Co-owner and has the following contact phone number (678) 913-6977.

The enumeration date for this NPI number is 4/9/2024 and was last updated on 4/10/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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