1851731327 NPI number — QCARE INC.

Table of content: (NPI 1851731327)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851731327 NPI number — QCARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QCARE 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:
QCARE RESIDENTIAL FACILITY II
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:
1851731327
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/15/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3662 LISCOME WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CONCORD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94518
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
925-689-7669
Provider Business Mailing Address Fax Number:
925-682-2117

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3662 LISCOME WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CONCORD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94518-1532
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-689-7669
Provider Business Practice Location Address Fax Number:
925-682-2117
Provider Enumeration Date:
06/28/2013

Additional Information

Authorized Official

Authorized Official Last Name:
CUNANAN
Authorized Official First Name:
JOAQUIN
Authorized Official Middle Name:
DEGUZMAN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
925-689-7669

Provider Taxonomy Codes

  • Taxonomy code: 310400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 311Z00000X , with the licence number: 075601280 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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