1538037114 NPI number — LIFE QUALITY HOME HEALTHCARE INC

Table of content: MR. JOHN EMMANUEL PODELINO AVILA (NPI 1255857454)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538037114 NPI number — LIFE QUALITY HOME HEALTHCARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LIFE QUALITY 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:
Provider Other Organization Name Type Code:
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:
1538037114
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
LIFE QUALITY HOME HEALTHCARE INC
Provider Second Line Business Mailing Address:
50 HIGHWAY 9 N SUITE 208
Provider Business Mailing Address City Name:
MORGANVILLE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07751
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-785-4444
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
LIFE QUALITY HOME HEALTHCARE INC
Provider Second Line Business Practice Location Address:
50 HIGHWAY 9 N SUITE 208
Provider Business Practice Location Address City Name:
MORGANVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07751
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-785-4444
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/27/2025

Additional Information

Authorized Official

Authorized Official Last Name:
RAFAILOV
Authorized Official First Name:
IRINA
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
646-785-4444

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)





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