1. Home
  2. Directory
  3. California
  4. Antioch
  5. In Home Supportive Care
  6. NPI Profile

1ST GWINNETT HOME CARE LLC
NPI 1811740889
In Home Supportive Care in Antioch, CA

Active since April 09, 2024
3570 E 18TH ST BLDG 10123, ANTIOCH, CA 94509(678) 913-6977 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About 1st Gwinnett Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

1ST GWINNETT HOME CARE LLC (NPI 1811740889) is a healthcare organization registered as an in home supportive care in Antioch, California and active in the NPI registry since April 2024. The organization lists Samuel Bimbo, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1811740889
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business Name1ST GWINNETT HOME CARE LLC
Location Address3570 E 18TH ST BLDG 10123Antioch, CA 94509-7450
Mailing Address3570 E 18th St Bldg 10123Antioch, CA 94509-7450 · (678) 913-6977
Phone(678) 913-6977
Organization SubpartNo
Authorized OfficialSamuel BimboCo-owner · (678) 913-6977
Enumeration DateApril 9, 2024
Last NPPES UpdateApril 10, 2024
NPPES CertifiedApril 10, 2024
✔ NPI 1811740889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
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.
3570 E 18TH ST BLDG 10123, Antioch, CA 94509
Open in Google Maps ↗

Other Names 1

Other Name1st Gwinnett Home Care Llc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 1st Gwinnett Home Care LLC's NPI number?

The NPI number for 1st Gwinnett Home Care LLC is 1811740889. It was assigned to this organization in the NPPES registry on April 9, 2024.

Where is 1st Gwinnett Home Care LLC located?

1st Gwinnett Home Care LLC is located at 3570 E 18th St Bldg 10123, Antioch, CA 94509. The listed phone number is (678) 913-6977.

What is 1st Gwinnett Home Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for 1st Gwinnett Home Care LLC was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.