1316015191 NPI number — QUALITY HOME STAFFING, INC.

Table of content: (NPI 1316015191)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316015191 NPI number — QUALITY HOME STAFFING, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QUALITY HOME STAFFING, 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:
1316015191
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 490
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINDSOR
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27983-0490
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-794-4227
Provider Business Mailing Address Fax Number:
252-794-8491

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
228 US 13 S BYPASS
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
WINDSOR
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27983-8018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-794-4227
Provider Business Practice Location Address Fax Number:
252-794-4419
Provider Enumeration Date:
12/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MINEO
Authorized Official First Name:
BEVERLY
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT, ADMINISTRATOR
Authorized Official Telephone Number:
252-794-4227

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 3408758 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: HC2069 . This is a "NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: HC5849 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6601474 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6601626 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: HC4104 . This is a "NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 6601475 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6601476 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: HC1635 . This is a "NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: HC3582 . This is a "NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 6601472 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: HC3877 . This is a "NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: HC2428 . This is a "NORTH CAORLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 6601630 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: HC1848 . This is a "NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 6600475 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6601471 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6601473 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6601477 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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