1205867090 NPI number — QUALITY CARE-USA, INC.

Table of content: (NPI 1205867090)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205867090 NPI number — QUALITY CARE-USA, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QUALITY CARE-USA, 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:
KINDRED AT HOME
Provider Other Organization Name Type Code:
3
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:
1205867090
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/29/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12900 FOSTER ST STE 400
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OVERLAND PARK
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66213-2696
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 SARATOGA VILLAGE BLVD.
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
BALLSTON SPA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12020-3703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-452-3524
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SCHWARTZ
Authorized Official First Name:
RUTH
Authorized Official Middle Name:
C
Authorized Official Title or Position:
ASSISTANT SECRETARY
Authorized Official Telephone Number:
913-814-2288

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 000161506 . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 702022 . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 116529 . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 335394 . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 520103 . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 013100P . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 021337 . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 337224 . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00011327202 . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 107828105 . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7215344 . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000400417008 . This is a "1B" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10002879 . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 112645333 . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 120243 . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 801438 . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 112802024 . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 15047 . This is a "G2" identifier . This identifiers is of the category "OTHER".
  • Identifier: 565800 . This is a "G2" identifier . This identifiers is of the category "OTHER".




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