# GIFTED MINDS RESIDENTIAL CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083495386
- **Authorized official:** QEUNNA SMITH RN (OWNER)
- **Authorized official phone:** (757) 761-8629

## Contact information

- **Practice address:** 4349 INDIAN RIVER RD, CHESAPEAKE, VA 23325-3115
- **Practice address phone:** (757) 761-8629
- **Mailing address:** 4349 INDIAN RIVER RD, CHESAPEAKE, VA 23325-3115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/12/2023
- **Last updated:** 10/12/2023