=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144125386
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | G&P QUALITY CARE PROVIDERS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/08/2026
-----------------------------------------------------
Last Update Date | 10/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2260 18TH ST
-----------------------------------------------------
City | SPARKS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89431-1960
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-683-1046
-----------------------------------------------------
Fax | 775-800-1285
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2260 18TH ST
-----------------------------------------------------
City | SPARKS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89431-1960
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 775-683-1046
-----------------------------------------------------
Fax | 775-800-1285
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER / QIDP
-----------------------------------------------------
Name | CARRESA POWELL
-----------------------------------------------------
Credential | BA
-----------------------------------------------------
Telephone | 775-683-1046
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 385H00000X
-----------------------------------------------------
Taxonomy Name | Respite Care
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------