1396068771 NPI number — QUALITY CHOICE HOME HEALTHCARE INC.

Table of content: (NPI 1396068771)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396068771 NPI number — QUALITY CHOICE HOME HEALTHCARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QUALITY CHOICE HOME HEALTHCARE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
QC HOME HEALTH CARE INC.
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396068771
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/30/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 WEST BIG BEAVER ROAD #200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TROY
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48084
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-854-1933
Provider Business Mailing Address Fax Number:
248-572-7150

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 WEST BIG BEAVER ROAD #200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TROY
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48084
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-854-1933
Provider Business Practice Location Address Fax Number:
248-572-7150
Provider Enumeration Date:
03/12/2010

Additional Information

Authorized Official

Authorized Official Last Name:
ALLISON
Authorized Official First Name:
SAVANNAH
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
248-854-1933

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  NOT REQUIRED , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com