Provider Demographics
NPI:1003506973
Name:QUALITY PRIVATE HOME CARE
Entity Type:Organization
Organization Name:QUALITY PRIVATE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOULFAIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-633-2664
Mailing Address - Street 1:495 EAST ST
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-2203
Mailing Address - Country:US
Mailing Address - Phone:617-633-2664
Mailing Address - Fax:
Practice Address - Street 1:495 EAST ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-2203
Practice Address - Country:US
Practice Address - Phone:617-633-2664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty