Provider Demographics
NPI:1033307426
Name:TOTAL QUALITY HEALTH SYSTEMS
Entity Type:Organization
Organization Name:TOTAL QUALITY HEALTH SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:R
Authorized Official - Last Name:FOX
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:336-294-7656
Mailing Address - Street 1:PO BOX 5790
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27435-0790
Mailing Address - Country:US
Mailing Address - Phone:336-617-6051
Mailing Address - Fax:336-617-6053
Practice Address - Street 1:2302 WEST MEADOWVIEW RD
Practice Address - Street 2:SUITE 222
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-3750
Practice Address - Country:US
Practice Address - Phone:336-617-6051
Practice Address - Fax:336-617-6053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC1601251E00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health