1912190521 NPI number — QSTAFF INCORPORATED

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912190521 NPI number — QSTAFF INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QSTAFF INCORPORATED
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:
6
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:
1912190521
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/16/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
451 HIGHWAY 3 S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEAGUE CITY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77573-3847
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-204-8944
Provider Business Mailing Address Fax Number:
281-204-8941

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
451 HIGHWAY 3 S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEAGUE CITY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77573-3847
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-204-8944
Provider Business Practice Location Address Fax Number:
281-204-8941
Provider Enumeration Date:
08/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GREEN
Authorized Official First Name:
CARMEN
Authorized Official Middle Name:
T
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
281-204-8944

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X , with the licence number:  011487 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 011487 . This is a "LICENSE FOR TEXAS HOSPICE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 001017923 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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